LYNNE BUCALO
Dentist


Address: 54 Sound Breeze Ave, Groton Long Pt, CT 06340

LYNNE BUCALO (Credential# 700238) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.

Business Overview

LYNNE BUCALO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004079. The credential type is dentist. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 54 Sound Breeze Ave, Groton Long Pt, CT 06340. The current status is inactive.

Basic Information

Licensee Name LYNNE BUCALO
Credential ID 700238
Credential Number 2.004079
Credential Type Dentist
Business Address 54 Sound Breeze Ave
Groton Long Pt
CT 06340
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-07-03
Effective Date 2015-09-01
Expiration Date 2016-08-31
Refresh Date 2016-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
153157 CSP.0008202 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 54 SOUND BREEZE AVE
City GROTON LONG PT
State CT
Zip Code 06340

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Competitor

Search similar business entities

City GROTON LONG PT
Zip Code 06340
License Type Dentist
License Type + County Dentist + GROTON LONG PT

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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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