SUSAN H. LACKMAN (Credential# 1003180) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2019. The license expiration date date is January 31, 2020. The license status is INACTIVE.
SUSAN H. LACKMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.007784. The credential type is dental hygienist. The effective date is February 1, 2019. The expiration date is January 31, 2020. The business address is Po Box 1326, North Conway, NH 03860-1326. The current status is inactive.
| Licensee Name | SUSAN H. LACKMAN |
| Credential ID | 1003180 |
| Credential Number | 13.007784 |
| Credential Type | Dental Hygienist |
| Business Address |
Po Box 1326 North Conway NH 03860-1326 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-06-28 |
| Effective Date | 2019-02-01 |
| Expiration Date | 2020-01-31 |
| Refresh Date | 2020-05-05 |
| Street Address | PO BOX 1326 |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-1326 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arlene Mrozowski | 3073 White Mountain Highway, North Conway, NH 03860 | Controlled Substance Registration for Practitioner | 2013-04-02 ~ 2015-02-28 |
| Ruth B Mason | Box 582, North Conway, NH 03860 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Ginnette L Allen · Leonetti | 116 Samuel Hale Drive, North Conway, NH 03860 | Hairdresser/cosmetician | 2008-02-04 ~ 2010-02-28 |
| Virginia R Boucher | P O Box 3414, North Conway, NH 03860 | Hairdresser/cosmetician | 1994-03-30 ~ 1995-03-31 |
| David A Stevenson | P.o. Box 1856, North Conway, NH 03860 | Physician/surgeon | 1996-04-29 ~ 1997-04-30 |
| Wilma H Fogarty | 131 Boulder Ridge Rd, Hales Location, NH 03860 | Registered Nurse | 2006-05-23 ~ 2007-06-30 |
| Jenny Decilla | 51 Artist Falls Road, North Conway, NH 03860 | Hairdresser/cosmetician | 2007-01-08 ~ 2008-11-30 |
| H Edmund Bergeron | Po Box 440, N Conway, NH 03860 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Leo M Kenney | Po Box 3, North Conway, NH 03860 | Chiropractor | 2010-07-01 ~ 2011-06-30 |
| Nancy L Mason | Po Box 582, North Conway, NH 03860-0582 | Registered Nurse | 1992-04-24 ~ 1993-04-30 |
| Find all Licenses in zip 03860 | |||
| City | NORTH CONWAY |
| Zip Code | 03860 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + NORTH CONWAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan J. Sloane · Susan Lenti | 148 Hurds Corners Rd, Pawling, NY 12564-2403 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Susan N Chu | 3 Anthony Way, Ellington, CT 06029-3656 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Susan E Chiasson | 24 Roanoke Ave, Fairfield, CT 06824-6125 | Dental Hygienist | ~ |
| Susan A Weber | Po Box 436, Ledyard, CT 06339-0436 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Susan S Vollhardt | P O Box 195, Rockport, ME 04856 | Dental Hygienist | 1992-04-24 ~ 1993-04-30 |
| Susan P Cottrell | 58 Granby Dr, Madison, CT 06443 | Dental Hygienist | 1992-09-24 ~ 1993-09-30 |
| Susan D Ridgway | Po Box 24466, St Croix, 00824 | Dental Hygienist | 1995-04-27 ~ 1996-06-30 |
| Susan S Zavalko | 23 Riverbend Dr, Oxford, CT 06478-2732 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Susan I Graves | Po Box 41, North Stonington, CT 06359 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Susan L Bisceglia | 111 Florence Avenue, Rye, NY 10580 | Dental Hygienist | 1997-02-26 ~ 1998-02-28 |
Please comment or provide details below to improve the information on SUSAN H. LACKMAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).