PRISCILLA A TIETJEN
Dental Hygienist


Address: 36 East Avenue, Lisbon Falls, ME 04252

PRISCILLA A TIETJEN (Credential# 684219) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is February 4, 1994. The license expiration date date is January 31, 1995. The license status is INACTIVE.

Business Overview

PRISCILLA A TIETJEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003956. The credential type is dental hygienist. The effective date is February 4, 1994. The expiration date is January 31, 1995. The business address is 36 East Avenue, Lisbon Falls, ME 04252. The current status is inactive.

Basic Information

Licensee Name PRISCILLA A TIETJEN
Credential ID 684219
Credential Number 13.003956
Credential Type Dental Hygienist
Business Address 36 East Avenue
Lisbon Falls
ME 04252
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-11-05
Effective Date 1994-02-04
Expiration Date 1995-01-31
Refresh Date 2009-07-08

Office Location

Street Address 36 EAST AVENUE
City LISBON FALLS
State ME
Zip Code 04252

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sara M Quinlan 66 Ridge Rd, Lisbon, ME 04252 Registered Nurse 2020-08-01 ~ 2021-07-31
Aaron Thomas Gould 23 Vining St, Lisbon Falls, ME 04252 Registered Nurse - Temporary 2016-12-21 ~ 2017-04-19
Jessica L Michaud 39 Vining St, Lisbon Falls, ME 04252 Registered Nurse 2009-01-20 ~ 2009-09-30
Naomi M Loss 20 Alora St, Lisbon Falls, ME 04252 Registered Nurse 2007-03-01 ~ 2008-03-31
Doreen M Siddall 310 Main St, Lisbon Falls, ME 04252 Registered Nurse 2010-11-01 ~ 2011-10-31
Julia Wilson 19 School Street, Lisbon Falls, ME 04252 Registered Nurse 2006-11-20 ~ 2007-10-31
Sharon M Livingston 52 Summer Street, Lisbon Falls, ME 04252 Registered Nurse 2005-08-24 ~ 2006-10-31
Pauline P Werner 28 Woodland Ave, Lisbon Falls, ME 04252 Licensed Practical Nurse 1993-05-25 ~ 1994-06-30
Amanda E Corkum 12 Forbes Rd, Lisbon Falls, ME 04252-9558 Registered Nurse ~

Competitor

Search similar business entities

City LISBON FALLS
Zip Code 04252
License Type Dental Hygienist
License Type + County Dental Hygienist + LISBON FALLS

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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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