DIANE D ELLIS
Dental Hygienist


Address: 12 Sammy Ln, Warwick, MA 01378-9335

DIANE D ELLIS (Credential# 683126) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

DIANE D ELLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.002408. The credential type is dental hygienist. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 12 Sammy Ln, Warwick, MA 01378-9335. The current status is inactive.

Basic Information

Licensee Name DIANE D ELLIS
Credential ID 683126
Credential Number 13.002408
Credential Type Dental Hygienist
Business Address 12 Sammy Ln
Warwick
MA 01378-9335
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-04-17
Effective Date 2012-10-01
Expiration Date 2013-09-30
Refresh Date 2014-01-02

Office Location

Street Address 12 SAMMY LN
City WARWICK
State MA
Zip Code 01378-9335

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Competitor

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City WARWICK
Zip Code 01378
License Type Dental Hygienist
License Type + County Dental Hygienist + WARWICK

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Susan G Ellis 46 Deerfield Dr, Glastonbury, CT 06033 Dental Hygienist 2012-03-01 ~ 2013-02-28
Patricia L Ellis 86 Pond Circle, Somers, CT 06071 Dental Hygienist 2020-05-01 ~ 2021-04-30
Holly A Jennings 31 Ellis Drive, North Haledon, NJ 07508 Dental Hygienist 2002-10-22 ~ 2003-12-31
Bridget M Ellis 7 Graham Manor Rd, West Haven, CT 06516-5227 Dental Hygienist 2019-10-01 ~ 2020-09-30
Diane E Dimmock P.o. Box 700, Charlestown, CT 02813 Dental Hygienist 2010-03-01 ~ 2011-02-28
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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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