ELLEN H COSTA
Dental Hygienist


Address: 499 Melville Ave, Fairfield, CT 06432

ELLEN H COSTA (Credential# 682400) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is January 22, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.

Business Overview

ELLEN H COSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.001020. The credential type is dental hygienist. The effective date is January 22, 2002. The expiration date is March 31, 2003. The business address is 499 Melville Ave, Fairfield, CT 06432. The current status is inactive.

Basic Information

Licensee Name ELLEN H COSTA
Credential ID 682400
Credential Number 13.001020
Credential Type Dental Hygienist
Business Address 499 Melville Ave
Fairfield
CT 06432
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2002-01-22
Expiration Date 2003-03-31
Refresh Date 2009-07-08

Office Location

Street Address 499 MELVILLE AVE
City FAIRFIELD
State CT
Zip Code 06432

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Michele M Costa 499 Melville Ave, Fairfield, CT 06825 Physical Therapist 2019-10-01 ~ 2020-09-30

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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06432
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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