MICHELLE M MAZZARELLA
Dental Hygienist


Address: 27 Old Farm Rd, Douglas, MA 01516-2548

MICHELLE M MAZZARELLA (Credential# 1045962) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

MICHELLE M MAZZARELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.007907. The credential type is dental hygienist. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 27 Old Farm Rd, Douglas, MA 01516-2548. The current status is inactive.

Basic Information

Licensee Name MICHELLE M MAZZARELLA
Credential ID 1045962
Credential Number 13.007907
Credential Type Dental Hygienist
Business Address 27 Old Farm Rd
Douglas
MA 01516-2548
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-01-10
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 27 OLD FARM RD
City DOUGLAS
State MA
Zip Code 01516-2548

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Casey M Aubin 12 C Street, Douglas, MA 01516 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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James M Kidd 26 North St Apt #125, Douglas, MA 01516 Pharmacist 2018-02-01 ~ 2020-01-31
Katelyn M Audet 123 Walnut St, Douglas, MA 01516 Pharmacist 2020-02-01 ~ 2022-01-31
Duane R Heerdt C/o Guaranteed Builders, Douglas, MA 01516 Sub-surface Sewage Installer 2020-01-01 ~ 2020-12-31
Thea Marie Gagliardi 24 B Gilboa Street, Douglas, MA 01516 Notary Public Appointment 2006-11-06 ~ 2011-11-30
Maryellen Brisbois 20 Hilltop Dr, Douglas, MA 01516 Registered Nurse 2019-12-01 ~ 2020-11-30
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Competitor

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City DOUGLAS
Zip Code 01516
License Type Dental Hygienist
License Type + County Dental Hygienist + DOUGLAS

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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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