MARYANNE CHAMPAGNE
Dental Hygienist


Address: 113 Minor Ave, Stratford, CT 06497

MARYANNE CHAMPAGNE (Credential# 683718) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is April 23, 1993. The license expiration date date is May 31, 1994. The license status is INACTIVE.

Business Overview

MARYANNE CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003303. The credential type is dental hygienist. The effective date is April 23, 1993. The expiration date is May 31, 1994. The business address is 113 Minor Ave, Stratford, CT 06497. The current status is inactive.

Basic Information

Licensee Name MARYANNE CHAMPAGNE
Credential ID 683718
Credential Number 13.003303
Credential Type Dental Hygienist
Business Address 113 Minor Ave
Stratford
CT 06497
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 1993-04-23
Expiration Date 1994-05-31
Refresh Date 2009-07-08

Office Location

Street Address 113 MINOR AVE
City STRATFORD
State CT
Zip Code 06497

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Competitor

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City STRATFORD
Zip Code 06497
License Type Dental Hygienist
License Type + County Dental Hygienist + STRATFORD

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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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