PATRICIA E ARCOS VILLALVA (Credential# 1800900) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2019. The license expiration date date is December 31, 2020. The license status is ACTIVE.
PATRICIA E ARCOS VILLALVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012667-PROV. The credential type is provisional faculty dentist. The effective date is December 2, 2019. The expiration date is December 31, 2020. The business address is 87 Shadow Ln Unit A1, West Hartford, CT 06110-1677. The current status is active.
| Licensee Name | PATRICIA E ARCOS VILLALVA |
| Credential ID | 1800900 |
| Credential Number | 2.012667-PROV |
| Credential Type | Provisional Faculty Dentist |
| Credential SubCategory | PROV |
| Business Address |
87 Shadow Ln Unit A1 West Hartford CT 06110-1677 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-02 |
| Effective Date | 2019-12-02 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491441 | 2.012085-RES | Resident Dentist | 2017-07-01 | 2017-07-01 - 2019-06-30 | INACTIVE |
| 1439086 | CSP.0066351 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-28 | 2017-07-28 - 2019-02-28 | LAPSED |
| Street Address | 87 SHADOW LN UNIT A1 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1677 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | Provisional Faculty Dentist |
| License Type + County | Provisional Faculty Dentist + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia I Diaz Moreno | 263 Farmington Ave, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-01 ~ 2021-03-31 |
| Guy Huynh-ba | 47 Avonwood Road, Avon, CT 06001 | Provisional Faculty Dentist | ~ |
| Celia M Roman | 117 Paradise Rd Fl 2, Swampscott, MA 01907-1955 | Provisional Faculty Dentist | ~ |
| Ada G Seminario | 4m Staunton Court, Farmington, CT 06032 | Provisional Faculty Dentist | ~ |
| Victoria E Barany Nunez | Farmington, CT 06032 | Provisional Faculty Dentist | 2018-09-07 ~ 2019-03-31 |
| Pooja Bysani | 54 Eddy St, Avon, CT 06001 | Provisional Faculty Dentist | 2020-05-01 ~ 2021-04-30 |
| Johanna M Musco | 19 Woodland Drive, Wallingford, CT 06492 | Provisional Faculty Dentist | ~ |
| Theodora Vogiatzi-perdikis | 120 E Weatogue St, Simsbury, CT 06070-2504 | Provisional Faculty Dentist | 2020-06-01 ~ 2021-05-31 |
| Eliane H Dutra | 85 Memorial Rd Apt 502, West Hartford, CT 06107-4213 | Provisional Faculty Dentist | 2020-03-01 ~ 2021-02-28 |
| Jose R Porras | 102 Oakwood Ave, West Hartford, CT 06119 | Provisional Faculty Dentist | 2012-08-01 ~ 2013-07-31 |
Please comment or provide details below to improve the information on PATRICIA E ARCOS VILLALVA.
| 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).