DEBRA H CHAMPAGNE (Credential# 684208) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
DEBRA H CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003936. The credential type is dental hygienist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 844 Briarfield Rd, Jackson, MS 39211-4115. The current status is active.
| Licensee Name | DEBRA H CHAMPAGNE |
| Credential ID | 684208 |
| Credential Number | 13.003936 |
| Credential Type | Dental Hygienist |
| Business Address |
844 Briarfield Rd Jackson MS 39211-4115 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1983-08-13 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-01 |
| Street Address | 844 BRIARFIELD RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-4115 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary H Sawardecker | 57 Woodridge Place, Jackson, MS 39211 | Licensed Practical Nurse | 2017-02-01 ~ 2018-01-31 |
| Robert L Crocker | 4264 East Ridge Drive, Jackson, MS 39211 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
| Shantrice Williams | 32a Northtown Rd, Jackson, MS 39211 | Registered Nurse | 2014-05-01 ~ 2015-05-31 |
| Richard C Miller | 2229 Greenbriar Drive, Jackson, MS 39211 | Physician/surgeon | 2008-09-12 ~ 2009-11-30 |
| Sunder H Jagwani | 39 Polo Drive, Jackson, MS 39211 | Physician/surgeon | 1992-06-25 ~ 1993-05-31 |
| Frank L Lauro | 51 Northtown Dr, Jackson, MS 39211 | Physician/surgeon | 1996-12-11 ~ 1997-12-31 |
| Gwendolyn I Mosley | 1231 Greenbriar St, Jackson, MS 39211 | Registered Nurse | 2006-09-26 ~ 2007-10-31 |
| Lily L Caldwell | 5146 Ridgewood Road, Jackson, MS 39211 | Registered Nurse | 2007-08-10 ~ 2008-09-30 |
| Stephanie M Van Fossen | 6300 Old Canton Road, Jackson, MS 39211 | Registered Nurse | 2000-06-12 ~ 2001-05-31 |
| Treva R Gilbert | 2501 River Oaks Boulevard, Jackson, MS 39211 | Registered Nurse | 2001-08-09 ~ 2002-09-30 |
| Find all Licenses in zip 39211 | |||
| City | JACKSON |
| Zip Code | 39211 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + JACKSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryanne Champagne | 113 Minor Ave, Stratford, CT 06497 | Dental Hygienist | 1993-04-23 ~ 1994-05-31 |
| Melissa D Champagne | 4 Patriots Square, Mansfield Center, CT 06250 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Debra Ann Muirhead | 11 Ann St, Manchester, CT 06040 | Dental Hygienist | 1996-08-28 ~ 1997-05-31 |
| Debra L Gibeault | 4 Greenwich Ct, Middletown, CT 06457-4523 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Debra L Conte | 36 Brainerd Rd, Branford, CT 06405 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| Debra A Albrecht | 99 School St, Keene, NH 03431 | Dental Hygienist | 2004-02-23 ~ 2005-02-28 |
| Debra A Ravlin | 294 North Rd, Harwinton, CT 06791-1404 | Dental Hygienist | 2019-08-01 ~ 2020-07-31 |
| Debra Ann Doody | 61 Reithel St, Auburn, MA 01501 | Dental Hygienist | 1995-03-06 ~ 1996-03-31 |
| Debra K Worthington | Po Box 1406, Millbrook, NY 12545-1406 | Dental Hygienist | 2019-12-01 ~ 2020-11-30 |
| Debra D Britz | 853 Birchwood Dr., Orange, CT 06477 | Dental Hygienist | 2015-12-01 ~ 2016-11-30 |
Please comment or provide details below to improve the information on DEBRA H CHAMPAGNE.
| 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).