DIANE B PETERSEN (Credential# 684069) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is March 17, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.
DIANE B PETERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003760. The credential type is dental hygienist. The effective date is March 17, 2003. The expiration date is March 31, 2004. The business address is 136 Walker St, Manchester, CT 06040. The current status is inactive.
| Licensee Name | DIANE B PETERSEN |
| Credential ID | 684069 |
| Credential Number | 13.003760 |
| Credential Type | Dental Hygienist |
| Business Address |
136 Walker St Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - PRIOR DISCIPLINE |
| Issue Date | 1982-06-22 |
| Effective Date | 2003-03-17 |
| Expiration Date | 2004-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 136 WALKER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane D Dwyer | Po Box 156, Colchester, CT 06415-0156 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Diane E Dimmock | P.o. Box 700, Charlestown, CT 02813 | Dental Hygienist | 2010-03-01 ~ 2011-02-28 |
| Diane R Costello | 66 Old Lantern Rd, Danbury, CT 06810 | Dental Hygienist | 2002-03-11 ~ 2003-04-30 |
| Diane L Chuba | 83 Chamberlain Dr, Huntington, CT 06484 | Dental Hygienist | 2019-10-01 ~ 2020-09-30 |
| Diane P Carabillo | 53 Trinity Ave, Glastonbury, CT 06033 | Dental Hygienist | 2019-08-01 ~ 2020-07-31 |
| Diane M Rossi | 1776 Rt. 32, Mountainville, NY 10953 | Dental Hygienist | 2010-09-01 ~ 2011-08-31 |
| Diane D Glick | 118 Stonewall Rd, Chatham, NY 12037 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Diane C Tobey | 14 Pinnacle Rd, Farmington, CT 06032 | Dental Hygienist | 2016-05-01 ~ 2017-04-30 |
| Diane E Grube | 30 Merrill Rd, Clinton, CT 06413 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Diane S Bokron | 60 Wedgewood Dr, Wethersfield, CT 06109 | Dental Hygienist | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on DIANE B PETERSEN.
| 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).