ANN GUSTAFSON
Dental Hygienist


Address: 54 Hunt Glen Drive, Granby, CT 06035

ANN GUSTAFSON (Credential# 686743) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is May 5, 2008. The license expiration date date is May 31, 2009. The license status is INACTIVE.

Business Overview

ANN GUSTAFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.006816. The credential type is dental hygienist. The effective date is May 5, 2008. The expiration date is May 31, 2009. The business address is 54 Hunt Glen Drive, Granby, CT 06035. The current status is inactive.

Basic Information

Licensee Name ANN GUSTAFSON
Credential ID 686743
Credential Number 13.006816
Credential Type Dental Hygienist
Business Address 54 Hunt Glen Drive
Granby
CT 06035
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-10
Effective Date 2008-05-05
Expiration Date 2009-05-31
Refresh Date 2009-09-29

Office Location

Street Address 54 Hunt Glen Drive
City Granby
State CT
Zip Code 06035

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Competitor

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City Granby
Zip Code 06035
License Type Dental Hygienist
License Type + County Dental Hygienist + Granby

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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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