DONNA L BOUTILIER
Dental Hygienist


Address: 261 Forecast Ln, Rockledge, FL 32955-5645

DONNA L BOUTILIER (Credential# 682796) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

DONNA L BOUTILIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.001838. The credential type is dental hygienist. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 261 Forecast Ln, Rockledge, FL 32955-5645. The current status is inactive.

Basic Information

Licensee Name DONNA L BOUTILIER
Credential ID 682796
Credential Number 13.001838
Credential Type Dental Hygienist
Business Address 261 Forecast Ln
Rockledge
FL 32955-5645
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 261 FORECAST LN
City ROCKLEDGE
State FL
Zip Code 32955-5645

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Walter E Gogulski 1393 Byrd Ct, Rockledge, FL 32955 Electrical Unlimited Contractor 2017-10-01 ~ 2018-09-30
Steven J Sharkevich 3875 Laflor Dr, Rockledge, FL 32955 Real Estate Salesperson 2007-06-22 ~ 2008-05-31
Melanie Packard 3460 Thurloe Drive, Rockledge, FL 32955 Certified Public Accountant License 2015-01-01 ~ 2015-12-31
Katherine M Craig 1465 Victoria Blvd, Rockledge, FL 32955 Registered Nurse 2009-05-08 ~ 2010-04-30
Joseph E Malespini 1883 Sun Gazer Drive, Viera, FL 32955 Hairdresser/cosmetician 2008-02-11 ~ 2010-02-28
Anne F Varanay 989 Miracle Way, Rockledge, FL 32955 Registered Nurse 1993-02-25 ~ 1994-03-31
Helen M Ippolito 990 Seminole Dr, Rockledge, FL 32955 Hairdresser/cosmetician 1994-09-01 ~ 1995-08-31
Hyo S Shin 6110 Anchor Lane, Rockledge, FL 32955 Physician/surgeon 1995-06-07 ~ 1996-05-31
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Competitor

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City ROCKLEDGE
Zip Code 32955
License Type Dental Hygienist
License Type + County Dental Hygienist + ROCKLEDGE

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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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