SAMANTHA Y WALLACE (Credential# 1424741) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SAMANTHA Y WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.008741. The credential type is dental hygienist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1201 Washington Blvd Apt 412, Stamford, CT 06902-2490. The current status is active.
| Licensee Name | SAMANTHA Y WALLACE |
| Credential ID | 1424741 |
| Credential Number | 13.008741 |
| Credential Type | Dental Hygienist |
| Business Address |
1201 Washington Blvd Apt 412 Stamford CT 06902-2490 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-01 |
| Street Address | 1201 WASHINGTON BLVD APT 412 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-2490 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob Pearsall | 1201 Washington Blvd Apt 311, Stamford, CT 06902-2490 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keri Phaneuf | 128 Firefly Dr, Wallace, NC 28466-2372 | Dental Hygienist | 1995-09-08 ~ 1996-08-31 |
| Elen J Wallace | 21 The Laurels, Enfield, CT 06082-2350 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Tinesha Wallace | 54 Amanda Cir, Windsor, CT 06095-3464 | Dental Hygienist | 2019-08-01 ~ 2020-07-31 |
| Farrah Grayson | 148 Wallace Ave, Mount Vernon, NY 10552-3223 | Dental Hygienist | 2018-08-01 ~ 2019-07-31 |
| Carolyn H Murray | 70 Wallace Wood Ln., Lake Clear, NY 12945 | Dental Hygienist | 2006-12-08 ~ 2008-01-31 |
| Samantha L Dzierlatka | 25 Skyline Dr, Farmington, CT 06032-2018 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Samantha J Rizzuti | 386 Hart St, Southington, CT 06489 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Samantha J. Bodden | 62 Richards Dr, Monroe, CT 06468-2344 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Samantha E Horton | 161 Warren Ave, Hawthorne, NY 10532-2516 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Samantha A. Gregorio | 101 Flint Ln, Greer, SC 29651-6401 | Dental Hygienist | 2014-06-01 ~ 2015-05-31 |
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| 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).