JUDITH A BRAULT
BALOCKI


Address: 16 Burr Road, Lyme, CT 06371

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
756829 29.000421 Massage Therapist 1994-02-01 2012-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address 16 BURR ROAD
City LYME
State CT
Zip Code 06371

Licenses in the same zip code

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
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Competitor

Search similar business entities

City LYME
Zip Code 06371
License Type Dental Hygienist
License Type + County Dental Hygienist + LYME

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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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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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