MIMOZA BASHA
Dental Hygienist


Address: 197 Little Brook Dr, Newington, CT 06111-5306

MIMOZA BASHA (Credential# 1180053) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

MIMOZA BASHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.008139. The credential type is dental hygienist. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 197 Little Brook Dr, Newington, CT 06111-5306. The current status is active.

Basic Information

Licensee Name MIMOZA BASHA
Credential ID 1180053
Credential Number 13.008139
Credential Type Dental Hygienist
Business Address 197 Little Brook Dr
Newington
CT 06111-5306
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-08-29
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-06-03

Office Location

Street Address 197 LITTLE BROOK DR
City NEWINGTON
State CT
Zip Code 06111-5306

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James A Chmura 205 Little Brook Dr, Newington, CT 06111-5306 Licensed Clinical Social Worker 2018-10-01 ~ 2019-09-30
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Competitor

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City NEWINGTON
Zip Code 06111
License Type Dental Hygienist
License Type + County Dental Hygienist + NEWINGTON

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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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