PHYLLIS A ODOOM DDS (Credential# 948391) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PHYLLIS A ODOOM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010355. The credential type is dentist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1 Paddock Rd, East Lyme, CT 06333. The current status is active.
| Licensee Name | PHYLLIS A ODOOM DDS |
| Credential ID | 948391 |
| Credential Number | 2.010355 |
| Credential Type | Dentist |
| Business Address |
1 Paddock Rd East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 972046 | CSP.0049200 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 PADDOCK RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | Dentist |
| License Type + County | Dentist + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susana A. Odoom | 7 Fourth Street, Stamford, CT 06905 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Phyllis Madorsky Inc | 5 Blind Brook Road South, Westport, CT 06880 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Phyllis Madorsky Gen Contractor Inc | 5 Blind Brook Rd S, Westport, CT 06880 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Phyllis's Bakery | 33 Harrison St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 1998-08-01 ~ 1999-07-31 |
| Phyllis's Speciality Baking · Dugg Hill Farm LLC | 33 Harrison St, Putnam, CT 06260-1225 | Bakery | 2017-07-01 ~ 2018-06-30 |
| Phyllis's Specialty Baking | 33 Harrison St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2019-08-01 ~ 2020-07-31 |
| Phyllis Bodel Childcare Ctr @ Yale Sch Med | 367 Cedar St, New Haven, CT 06510-3222 | Child Care Center | 2017-07-01 ~ 2021-06-30 |
| Burton & Phyllis Hoffman Foundation, Inc. · Burton & Phyllis Hoffman Foundation Inc | 700 Connecticut Blvd, East Hartford, CT 06108-3222 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Phyllis Bodel Childcare Ctr At Yale Sch of Medicine South | 100 Church St S, New Haven, CT 06519-1703 | Child Care Center | 2018-09-01 ~ 2022-08-31 |
| Winters-brooks, Phyllis C/o American Info Resources, I | 1799 Farmington Avenue, Farmington, CT 06085 | Certified Public Accountant Firm Permit | 1986-11-18 ~ 1986-12-31 |
Please comment or provide details below to improve the information on PHYLLIS A ODOOM DDS.
| 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).