THOMAS K BLAIK (Credential# 1793047) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
THOMAS K BLAIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012658. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 202 Pomfret St, Putnam, CT 06260-1833. The current status is active.
| Licensee Name | THOMAS K BLAIK |
| Credential ID | 1793047 |
| Credential Number | 2.012658 |
| Credential Type | Dentist |
| Business Address |
202 Pomfret St Putnam CT 06260-1833 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1806466 | CSP.0072778 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-15 | 2019-11-15 - 2021-02-28 | ACTIVE |
| Street Address | 202 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1833 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Generations Family Health Center, Inc. | 202 Pomfret St, Putnam, CT 06260-1833 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Dentist |
| License Type + County | Dentist + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Blaik D Lisella | 32 Hartford Ave, Wethersfield, CT 06109 | Real Estate Salesperson | 2008-07-01 ~ 2009-05-31 |
| Huw F Thomas | 73 Chelsea St Apt 109, Charlestown, MA 02129-2051 | Dentist | 1985-12-02 ~ 1991-04-30 |
| Thomas J. Lin | 27 Park Ave, Uncasville, CT 06382-1726 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Thomas B Galvin | 246 Mountain Rd, Glastonbury, CT 06033-1509 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Thomas J Smith | 120 W Bradford Pl, Madison, MS 39110 | Dentist | 1993-06-24 ~ 1994-06-30 |
| Thomas P Thalody Dds | 302 Merwin Ave, Milford, CT 06460 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Thomas M Ohlson Dds | 999 Summer St Ste 400, Stamford, CT 06905-5513 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Thomas J Ravin | 365 Main St, Watertown, CT 06795 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Thomas W Rhodes | 31 Willow Dr, Hopewell Jct, NY 12533 | Dentist | 1992-07-23 ~ 1993-06-30 |
| Negar Dolatabadi | 1 Thomas St Apt 5a, New York, NY 10007-1421 | Dentist | 2019-10-02 ~ 2020-09-30 |
Please comment or provide details below to improve the information on THOMAS K BLAIK.
| 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).