JUDITH A BRAULT (Credential# 682742) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
JUDITH A BRAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.001714. The credential type is dental hygienist. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 16 Burr Road, Lyme, CT 06371. The current status is inactive.
Licensee Name | JUDITH A BRAULT |
Doing Business As | BALOCKI |
Credential ID | 682742 |
Credential Number | 13.001714 |
Credential Type | Dental Hygienist |
Business Address |
16 Burr Road Lyme CT 06371 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1901-01-01 |
Effective Date | 2016-10-01 |
Expiration Date | 2017-09-30 |
Refresh Date | 2018-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
756829 | 29.000421 | Massage Therapist | 1994-02-01 | 2012-10-01 - 2014-09-30 | INACTIVE |
Street Address | 16 BURR ROAD |
City | LYME |
State | CT |
Zip Code | 06371 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | LYME |
Zip Code | 06371 |
License Type | Dental Hygienist |
License Type + County | Dental Hygienist + LYME |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexandria N Brault | 103 Main St # 104, Durham, CT 06422-9992 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
Laura Papps | 45 Judith Dr, Danbury, CT 06811-3443 | Dental Hygienist | ~ |
Judith A Demealo | 71 Maple Ave, Rye, NY 10580-1511 | Dental Hygienist | 2012-09-01 ~ 2013-08-31 |
Judith A Mcguire | 46 Glendale Rd, Agawam, MA 01001 | Dental Hygienist | 2014-04-01 ~ 2015-03-31 |
Judith A Surowiec | 14 Kensington Cir, Wolcott, CT 06716-2866 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
Judith M Asselin | 89 Vivian Dr, Waterbury, CT 06705 | Dental Hygienist | 2006-10-24 ~ 2007-12-31 |
Judith S Lambert | 504 Jane Dr, Syracuse, NY 13219 | Dental Hygienist | 1998-12-21 ~ 2000-02-29 |
Judith G Mason | 307 Falley Dr, Westfield, MA 01085 | Dental Hygienist | 1995-08-28 ~ 1996-08-31 |
Judith A Esposito | 3 Woodside Dr, Woodbridge, CT 06525 | Dental Hygienist | 1993-07-23 ~ 1994-06-30 |
Judith Lambert | Hultvagen 5, Flen, 64232 | Dental Hygienist | 2006-08-22 ~ 2007-08-31 |
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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).