GWENDOLYN M BASILICA
Dental Hygienist


Address: 54 Gardner Ave, New London, CT 06320

GWENDOLYN M BASILICA (Credential# 683384) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

GWENDOLYN M BASILICA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.002820. The credential type is dental hygienist. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 54 Gardner Ave, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name GWENDOLYN M BASILICA
Credential ID 683384
Credential Number 13.002820
Credential Type Dental Hygienist
Business Address 54 Gardner Ave
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2014-06-01
Expiration Date 2015-05-31
Refresh Date 2015-09-11

Office Location

Street Address 54 GARDNER AVE
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type Dental Hygienist
License Type + County Dental Hygienist + NEW LONDON

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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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