JENNIFER A WILLIAMS-BOGANNAM
Dental Hygienist


Address: 271 Westlea Road, Fairfield, CT 06824

JENNIFER A WILLIAMS-BOGANNAM (Credential# 683889) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

JENNIFER A WILLIAMS-BOGANNAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.003531. The credential type is dental hygienist. The effective date is May 1, 2013. The expiration date is April 30, 2014. The business address is 271 Westlea Road, Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name JENNIFER A WILLIAMS-BOGANNAM
Credential ID 683889
Credential Number 13.003531
Credential Type Dental Hygienist
Business Address 271 Westlea Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1981-05-16
Effective Date 2013-05-01
Expiration Date 2014-04-30
Refresh Date 2014-08-07

Office Location

Street Address 271 WESTLEA ROAD
City FAIRFIELD
State CT
Zip Code 06824

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City FAIRFIELD
Zip Code 06824
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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