LAUREN R KEIZER-NATHAN DDS
Dentist


Address: 15 Sandhopper Trl, Westport, CT 06880

LAUREN R KEIZER-NATHAN DDS (Credential# 704089) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

LAUREN R KEIZER-NATHAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009637. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Sandhopper Trl, Westport, CT 06880. The current status is active.

Basic Information

Licensee Name LAUREN R KEIZER-NATHAN DDS
Credential ID 704089
Credential Number 2.009637
Credential Type Dentist
Business Address 15 Sandhopper Trl
Westport
CT 06880
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-08-03
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-26

Other licenses

ID Credential Code Credential Type Issue Term Status
447750 CSP.0040383 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-23 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 15 SANDHOPPER TRL
City WESTPORT
State CT
Zip Code 06880

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Jee Hyun Kim 1 Allen Lane, Westport, CT 06880 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2021-07-31
Donna Vaccarella 15 Keyser Rd, Westport, CT 06880 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Sandra Gibson 12 Bayberry Ln, Westport, CT 06880 Registered Nurse 2020-08-01 ~ 2021-07-31
Adil Salam Md 44 Crawford Rd, Westport, CT 06880 Physician/surgeon 2020-07-01 ~ 2021-06-30
Joanne C Sosnoski 24 Hawatha Lane, Westport, CT 06880 Dental Hygienist 2020-08-01 ~ 2021-07-31
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Beginnings: An Infant/toddler Program 71 Hillandale Road, Westport, CT 06880 Group Child Care Home 2018-01-01 ~ 2021-12-31
Shelley S Ross 28 Old Hill Farms Rd, Westport, CT 06880 Dietitian/nutritionist 2020-08-01 ~ 2021-07-31
Robert W Van Summern 279 Wilton Rd, Westport, CT 06880 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City WESTPORT
Zip Code 06880
License Type Dentist
License Type + County Dentist + WESTPORT

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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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