SUSAN FELLAH
Dental Hygienist


Address: 250 Miro St Apt B, Fairfield, CT 06825-3626

SUSAN FELLAH (Credential# 1471726) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

SUSAN FELLAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.008835. The credential type is dental hygienist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 250 Miro St Apt B, Fairfield, CT 06825-3626. The current status is active.

Basic Information

Licensee Name SUSAN FELLAH
Credential ID 1471726
Credential Number 13.008835
Credential Type Dental Hygienist
Business Address 250 Miro St Apt B
Fairfield
CT 06825-3626
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-04-24
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2020-02-05

Office Location

Street Address 250 MIRO ST APT B
City FAIRFIELD
State CT
Zip Code 06825-3626

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Benjamin Allan Gott 262 Euclid Avenue, Fairfield, CT 06825 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Charles J Applebaum 841 Stratfield Rd, Fairfield, CT 06825 Dentist 2020-07-01 ~ 2021-06-30
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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Dental Hygienist
License Type + County Dental Hygienist + FAIRFIELD

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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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