DIANE E FERGUSON
Dental Hygienist


Address: 108 Myrtle St #18, Boston, MA 02114

DIANE E FERGUSON (Credential# 684154) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is February 3, 1997. The license expiration date date is October 31, 1997. The license status is INACTIVE.

Business Overview

DIANE E FERGUSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003873. The credential type is dental hygienist. The effective date is February 3, 1997. The expiration date is October 31, 1997. The business address is 108 Myrtle St #18, Boston, MA 02114. The current status is inactive.

Basic Information

Licensee Name DIANE E FERGUSON
Credential ID 684154
Credential Number 13.003873
Credential Type Dental Hygienist
Business Address 108 Myrtle St #18
Boston
MA 02114
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-07-01
Effective Date 1997-02-03
Expiration Date 1997-10-31
Refresh Date 2009-07-08

Office Location

Street Address 108 MYRTLE ST #18
City BOSTON
State MA
Zip Code 02114

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City BOSTON
Zip Code 02114
License Type Dental Hygienist
License Type + County Dental Hygienist + BOSTON

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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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