KATHLEEN L PHELAN
Dental Hygienist


Address: 122 Frost Road, Waterbury, CT 06705

KATHLEEN L PHELAN (Credential# 686030) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.

Business Overview

KATHLEEN L PHELAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.006102. The credential type is dental hygienist. The effective date is September 11, 2000. The expiration date is September 30, 2001. The business address is 122 Frost Road, Waterbury, CT 06705. The current status is inactive.

Basic Information

Licensee Name KATHLEEN L PHELAN
Credential ID 686030
Credential Number 13.006102
Credential Type Dental Hygienist
Business Address 122 Frost Road
Waterbury
CT 06705
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-10
Effective Date 2000-09-11
Expiration Date 2001-09-30
Refresh Date 2009-07-08

Office Location

Street Address 122 FROST ROAD
City WATERBURY
State CT
Zip Code 06705

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City WATERBURY
Zip Code 06705
License Type Dental Hygienist
License Type + County Dental Hygienist + WATERBURY

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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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