CLIFFORD JOHNSON DMD
Dentist


Address: 907 Boylston Street, Boston, MA 02115

CLIFFORD JOHNSON DMD (Credential# 703028) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 22, 1999. The license expiration date date is July 31, 2000. The license status is INACTIVE.

Business Overview

CLIFFORD JOHNSON DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008576. The credential type is dentist. The effective date is July 22, 1999. The expiration date is July 31, 2000. The business address is 907 Boylston Street, Boston, MA 02115. The current status is inactive.

Basic Information

Licensee Name CLIFFORD JOHNSON DMD
Credential ID 703028
Credential Number 2.008576
Credential Type Dentist
Business Address 907 Boylston Street
Boston
MA 02115
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-01-15
Effective Date 1999-07-22
Expiration Date 2000-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
209263 CSP.0027899 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-02-01 - 2000-02-28 INACTIVE

Office Location

Street Address 907 BOYLSTON STREET
City BOSTON
State MA
Zip Code 02115

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Competitor

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City BOSTON
Zip Code 02115
License Type Dentist
License Type + County Dentist + BOSTON

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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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