ELIANE H DUTRA
Provisional Faculty Dentist


Address: 85 Memorial Rd Apt 502, West Hartford, CT 06107-4213

ELIANE H DUTRA (Credential# 1377250) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ELIANE H DUTRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011733-PROV. The credential type is provisional faculty dentist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 85 Memorial Rd Apt 502, West Hartford, CT 06107-4213. The current status is active.

Basic Information

Licensee Name ELIANE H DUTRA
Credential ID 1377250
Credential Number 2.011733-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 85 Memorial Rd Apt 502
West Hartford
CT 06107-4213
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-10-13
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-26

Office Location

Street Address 85 MEMORIAL RD APT 502
City WEST HARTFORD
State CT
Zip Code 06107-4213

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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty Dentist + WEST HARTFORD

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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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