ELIZABETH E. BLOCK
Dentist


Address: 215 Hillcrest Rd, Fairfield, CT 06824-5112

ELIZABETH E. BLOCK (Credential# 1230816) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

ELIZABETH E. BLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011297. The credential type is dentist. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 215 Hillcrest Rd, Fairfield, CT 06824-5112. The current status is inactive.

Basic Information

Licensee Name ELIZABETH E. BLOCK
Credential ID 1230816
Credential Number 2.011297
Credential Type Dentist
Business Address 215 Hillcrest Rd
Fairfield
CT 06824-5112
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-10-01
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Office Location

Street Address 215 HILLCREST RD
City FAIRFIELD
State CT
Zip Code 06824-5112

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City FAIRFIELD
Zip Code 06824
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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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