RODRIGO A. HARISTOY
Provisional Faculty Dentist


Address: 4 Talcott Forest Rd Apt J, Farmington, CT 06032-3566

RODRIGO A. HARISTOY (Credential# 969227) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 28, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.

Business Overview

RODRIGO A. HARISTOY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010402-PROV. The credential type is provisional faculty dentist. The effective date is October 28, 2010. The expiration date is September 30, 2011. The business address is 4 Talcott Forest Rd Apt J, Farmington, CT 06032-3566. The current status is inactive.

Basic Information

Licensee Name RODRIGO A. HARISTOY
Credential ID 969227
Credential Number 2.010402-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 4 Talcott Forest Rd Apt J
Farmington
CT 06032-3566
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-10-28
Effective Date 2010-10-28
Expiration Date 2011-09-30
Refresh Date 2012-01-04

Office Location

Street Address 4 TALCOTT FOREST RD APT J
City FARMINGTON
State CT
Zip Code 06032-3566

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty Dentist + FARMINGTON

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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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