CECILIA A KOLSTAD
Dentist


Address: 202 W 107th St Apt 1w, New York, NY 10025-3085

CECILIA A KOLSTAD (Credential# 1132210) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is March 31, 2014. The license status is INACTIVE.

Business Overview

CECILIA A KOLSTAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010920. The credential type is dentist. The effective date is March 1, 2013. The expiration date is March 31, 2014. The business address is 202 W 107th St Apt 1w, New York, NY 10025-3085. The current status is inactive.

Basic Information

Licensee Name CECILIA A KOLSTAD
Credential ID 1132210
Credential Number 2.010920
Credential Type Dentist
Business Address 202 W 107th St Apt 1w
New York
NY 10025-3085
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-03-01
Effective Date 2013-03-01
Expiration Date 2014-03-31
Refresh Date 2014-07-05

Office Location

Street Address 202 W 107TH ST APT 1W
City NEW YORK
State NY
Zip Code 10025-3085

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Competitor

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City NEW YORK
Zip Code 10025
License Type Dentist
License Type + County Dentist + NEW YORK

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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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