JONATHAN FAIRBANKS (Credential# 700962) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.
JONATHAN FAIRBANKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.005371. The credential type is dentist. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is Po Box 575, Damariscotta, ME 04543. The current status is inactive.
| Licensee Name | JONATHAN FAIRBANKS |
| Credential ID | 700962 |
| Credential Number | 2.005371 |
| Credential Type | Dentist |
| Business Address |
Po Box 575 Damariscotta ME 04543 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1978-05-20 |
| Effective Date | 2013-10-01 |
| Expiration Date | 2014-09-30 |
| Refresh Date | 2015-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153615 | CSP.0005338 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | PO Box 575 |
| City | Damariscotta |
| State | ME |
| Zip Code | 04543 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deryl C Holt | P.o.box 1291, Damariscotta, ME 04543 | Speech and Language Pathologist | 2014-05-01 ~ 2015-04-30 |
| Susan J Renelt | P O Box 1496, Damariscotta, ME 04543 | Registered Nurse | 2011-07-01 ~ 2012-06-30 |
| Elizabeth A Cormier | P.o. Box 1384, Damariscotta, ME 04543 | Licensed Practical Nurse | 1995-09-26 ~ 1996-09-30 |
| Cynthia L Fairbanks | P.o. Box 575, Damariscotta, ME 04543 | Physical Therapist | 2005-05-19 ~ 2006-07-31 |
| Chris S Williams | P.o. Box 314, Damariscotta, ME 04543 | Paramedic | 2001-03-06 ~ 2002-02-28 |
| Susan Nilson Md | Po Box 1225, Damariscotta, ME 04543-1225 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Richard E Nilson | Po Box 1225, Damariscotta, ME 04543-1225 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| City | Damariscotta |
| Zip Code | 04543 |
| License Type | Dentist |
| License Type + County | Dentist + Damariscotta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kellie S O'keefe | 554 Fabian Drive, Fairbanks, AK 99712 | Dentist | 2020-01-01 ~ 2020-12-31 |
| Jayesh Patel | 20 Corning Fairbanks Way, Westborough, MA 01581-1853 | Dentist | 2018-07-25 ~ 2019-04-30 |
| Fairbanks Shop Inc | 1096 Post Road, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2000-08-09 ~ 2001-07-31 |
| Fairbanks Scales Inc | 821 Locust St, Kansas City, MO 64106 | Dealer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Fairbanks Scale Co | 134 Mendon St, Bellingham, MA 02019 | Operator of Weighing & Measuring Devices | 2016-08-01 ~ 2017-07-31 |
| Fairbanks Scales Corp | 20 West Wood Road, Hamden, CT 06518 | Dealer of Weighing & Measuring Devices | 1996-01-01 ~ 1996-12-31 |
| Fairbanks Sherry of Ca | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-09-14 ~ 2001-09-14 |
| Fairbanks California Sherry | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-11-05 ~ 2022-11-03 |
| Fairbanks California Port | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-02-14 ~ 2021-02-12 |
| Fairbanks Cream Sherry of Ca | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-09-14 ~ 2001-09-14 |
Please comment or provide details below to improve the information on JONATHAN FAIRBANKS.
| 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).