LAITH S AZZOUNI
Dentist


Address: 390 Southbridge St, Auburn, MA 01501-2456

LAITH S AZZOUNI (Credential# 1054438) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.

Business Overview

LAITH S AZZOUNI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010731. The credential type is dentist. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 390 Southbridge St, Auburn, MA 01501-2456. The current status is inactive.

Basic Information

Licensee Name LAITH S AZZOUNI
Credential ID 1054438
Credential Number 2.010731
Credential Type Dentist
Business Address 390 Southbridge St
Auburn
MA 01501-2456
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-04-12
Effective Date 2018-12-01
Expiration Date 2019-11-30
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1070694 22.008462 Dental Anesthesia/Conscious Sedation Permit 2012-10-09 2016-11-01 - 2017-10-31 INACTIVE
1075224 CSP.0052518 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-06-11 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 390 SOUTHBRIDGE ST
City AUBURN
State MA
Zip Code 01501-2456

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Patricia J Foley 18 Eastford Rd., Auburn, MA 01501 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Amy Lynn Bisson 489 Washington Street, Auburn, MA 01501 Real Estate Salesperson 2018-09-04 ~ 2019-05-31
Karen Jean Delagorgendiere 386 Rochdale Street, Auburn, MA 01501 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Anthony F Khattar 228 Leicester Street, Auburn, MA 01501 Real Estate Broker 2020-04-01 ~ 2021-03-31
Paul V Rice Jr 80 Jerome Ave, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Midpoint Engineering + Consulting LLC 826 Southbridge Street, Auburn, MA 01501 Professional Engineering Corporation 2020-01-13 ~ 2021-01-12
Kevin R Seaman 263 South St, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Katherine E Kelley 7 Coolidge St, Auburn, MA 01501 Pharmacist 2020-02-01 ~ 2022-01-31
Scott David Henderson 7 Hilltop Farm Rd, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Jennifer Renee Barnes 20 June Street, Auburn, MA 01501 Notary Public Appointment 2017-03-01 ~ 2022-02-28
Find all Licenses in zip 01501

Competitor

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City AUBURN
Zip Code 01501
License Type Dentist
License Type + County Dentist + AUBURN

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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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