NONA KHADIVI NIA JAVAN
Dental Hygienist


Address: 310 Quarry Brook Dr, South Windsor, CT 06074-3536

NONA KHADIVI NIA JAVAN (Credential# 1174189) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2014. The license expiration date date is January 31, 2015. The license status is INACTIVE.

Business Overview

NONA KHADIVI NIA JAVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.008096. The credential type is dental hygienist. The effective date is February 1, 2014. The expiration date is January 31, 2015. The business address is 310 Quarry Brook Dr, South Windsor, CT 06074-3536. The current status is inactive.

Basic Information

Licensee Name NONA KHADIVI NIA JAVAN
Credential ID 1174189
Credential Number 13.008096
Credential Type Dental Hygienist
Business Address 310 Quarry Brook Dr
South Windsor
CT 06074-3536
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-26
Effective Date 2014-02-01
Expiration Date 2015-01-31
Refresh Date 2015-05-28

Office Location

Street Address 310 QUARRY BROOK DR
City SOUTH WINDSOR
State CT
Zip Code 06074-3536

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Competitor

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City SOUTH WINDSOR
Zip Code 06074
License Type Dental Hygienist
License Type + County Dental Hygienist + SOUTH WINDSOR

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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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