ELIZABETH J. BRANDSTETTER CONGIU
Dentist


Address: 536 Spencer Rd Apt 1, Ithaca, NY 14850-5108

ELIZABETH J. BRANDSTETTER CONGIU (Credential# 1049134) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 22, 2012. The license expiration date date is September 30, 2012. The license status is INACTIVE.

Business Overview

ELIZABETH J. BRANDSTETTER CONGIU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010761. The credential type is dentist. The effective date is May 22, 2012. The expiration date is September 30, 2012. The business address is 536 Spencer Rd Apt 1, Ithaca, NY 14850-5108. The current status is inactive.

Basic Information

Licensee Name ELIZABETH J. BRANDSTETTER CONGIU
Credential ID 1049134
Credential Number 2.010761
Credential Type Dentist
Business Address 536 Spencer Rd Apt 1
Ithaca
NY 14850-5108
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-05-22
Effective Date 2012-05-22
Expiration Date 2012-09-30
Refresh Date 2013-01-07

Office Location

Street Address 536 SPENCER RD APT 1
City ITHACA
State NY
Zip Code 14850-5108

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City ITHACA
Zip Code 14850
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Dataset Information

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).

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