DEBORAH D PROVOST
Dental Hygienist


Address: 1516 Fuqua Dr, Flower Mound, TX 75028-3631

DEBORAH D PROVOST (Credential# 684314) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is March 31, 2014. The license status is INACTIVE.

Business Overview

DEBORAH D PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.004071. The credential type is dental hygienist. The effective date is April 1, 2013. The expiration date is March 31, 2014. The business address is 1516 Fuqua Dr, Flower Mound, TX 75028-3631. The current status is inactive.

Basic Information

Licensee Name DEBORAH D PROVOST
Credential ID 684314
Credential Number 13.004071
Credential Type Dental Hygienist
Business Address 1516 Fuqua Dr
Flower Mound
TX 75028-3631
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-07-14
Effective Date 2013-04-01
Expiration Date 2014-03-31
Refresh Date 2014-07-05

Office Location

Street Address 1516 FUQUA DR
City FLOWER MOUND
State TX
Zip Code 75028-3631

Licenses in the same zip code

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Doris Annette Scales 5508 Calisto Way, Flower Mound, TX 75028 Registered Nurse 2020-07-01 ~ 2021-06-30
Chad M Zielinski 5900 Ridgemont Dr., Flower Mound, TX 75028 Professional Engineer 2020-02-01 ~ 2021-01-31
Candace L Brunks 4017 Pepperwood Dr, Flower Mound, TX 75028 Licensed Practical Nurse 2019-08-01 ~ 2020-07-31
Mary E Shearer 1408 Willowross Way, Flower Mound, TX 75028 Hairdresser/cosmetician 2018-12-01 ~ 2020-11-30
Russell S Rivard 2601 Sagebrush Dr. St. 101, Flower Mound, TX 75028 Temporary Certified General Real Estate Appraiser 2015-09-22 ~ 2016-03-22
Vincent J Elizarde 2921 Shadow Oak Court, Flower Mound, TX 75028 Professional Engineer 2010-02-01 ~ 2011-01-31
Charles W Hyman 3425 Jameston Drive, Flower Mound, TX 75028 Professional Engineer 1999-02-01 ~ 2000-01-31
Donald E Meacham 2512 Stone Bridge, Flower Mound, TX 75028 Heating, Piping & Cooling Limited Journeyperson ~
Antoinette R Hale 2328 Amhearst Lane, Flower Mound, TX 75028 Registered Nurse 2010-01-01 ~ 2010-12-31
Christine M Duty · Saindon 2601 Northview Court, Flower Mound, TX 75028 Dental Hygienist 2009-06-29 ~ 2010-08-31
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Competitor

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City FLOWER MOUND
Zip Code 75028
License Type Dental Hygienist
License Type + County Dental Hygienist + FLOWER MOUND

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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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