ELLEN M NAM
Dentist


Address: 1709 West 8th Street, Los Angeles, CA 90017

ELLEN M NAM (Credential# 703980) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2006. The license expiration date date is July 31, 2007. The license status is INACTIVE.

Business Overview

ELLEN M NAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009528. The credential type is dentist. The effective date is July 10, 2006. The expiration date is July 31, 2007. The business address is 1709 West 8th Street, Los Angeles, CA 90017. The current status is inactive.

Basic Information

Licensee Name ELLEN M NAM
Credential ID 703980
Credential Number 2.009528
Credential Type Dentist
Business Address 1709 West 8th Street
Los Angeles
CA 90017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-10-27
Effective Date 2006-07-10
Expiration Date 2007-07-31
Refresh Date 2009-07-08

Office Location

Street Address 1709 West 8th Street
City Los Angeles
State CA
Zip Code 90017

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Gerard M Nieblas 700 S. Flower Street, Suite 1800, Los Angeles, CA 90017 Professional Engineer 2015-02-01 ~ 2016-01-31
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Competitor

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City Los Angeles
Zip Code 90017
License Type Dentist
License Type + County Dentist + Los Angeles

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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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