STACY C FAMA
Dental Hygienist


Address: 455 Old Post Road, Fairfield, CT 06824

STACY C FAMA (Credential# 684289) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

STACY C FAMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.004036. The credential type is dental hygienist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 455 Old Post Road, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name STACY C FAMA
Credential ID 684289
Credential Number 13.004036
Credential Type Dental Hygienist
Business Address 455 Old Post Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1984-06-25
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-08-02

Office Location

Street Address 455 Old Post Road
City Fairfield
State CT
Zip Code 06824

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Competitor

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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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