THERESA A PROVOST (Credential# 685020) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
THERESA A PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.004883. The credential type is dental hygienist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 122 Bellwood Rd, Springfield, MA 01119. The current status is active.
| Licensee Name | THERESA A PROVOST |
| Credential ID | 685020 |
| Credential Number | 13.004883 |
| Credential Type | Dental Hygienist |
| Business Address |
122 Bellwood Rd Springfield MA 01119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-07-14 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-14 |
| Street Address | 122 BELLWOOD RD |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roberta B Johnson | 162 Blanche St, Springfield, MA 01119 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Karen L Ford | 14 Wellfleet Dr, Springfield, MA 01119 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Evelyn J Dejesus | 192 Wollaston St., Springfield, MA 01119 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline M Diaz | 15 Delaware Avenue, Springfield, MA 01119 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kaitlyn Hill | 118 Gardens Dr, Springfeild, MA 01119 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
| Yarelis Cartagena-parker | 129 Cobb Street, Springfield, MA 01119 | Licensed Practical Nurse | 2020-03-31 ~ 2020-06-30 |
| Simmone M Shortte | 73 Woodrow St, Springfield, MA 01119 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Dorothy G Lortie | 20 Glenvale Street, Springfield, MA 01119 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Lori A Benoit · Benoit | 184 Patricia Circle, Springfield, MA 01119 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Karissa N Rogers | 18 Pine Grove Street, Springfield, MA 01119 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01119 | |||
| City | SPRINGFIELD |
| Zip Code | 01119 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah D Provost | 1516 Fuqua Dr, Flower Mound, TX 75028-3631 | Dental Hygienist | 2013-04-01 ~ 2014-03-31 |
| Theresa D Roy | 12 Andrew Cir, Hampden, MA 01036-9757 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Theresa E Mello | 33 Oakridge, Unionville, CT 06085-1474 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Theresa S Wieczorkowski | 55 Bunting Rd, Seymour, CT 06483 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Theresa B Siemers | 186 Route 6, Columbia, CT 06237 | Dental Hygienist | 2008-05-05 ~ 2009-06-30 |
| Theresa B Strzelewicz | 8 Valley St, Webster, MA 01570 | Dental Hygienist | 1994-01-05 ~ 1995-01-31 |
| Theresa L Komrower | 10437 Sternwheel Pl, Columbia, MD 21044 | Dental Hygienist | 1992-01-23 ~ 1992-12-31 |
| Theresa A Johnston | 18 Oxford Ln, East Longmeadow, MA 01028-2600 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Theresa A Dagle | 582 Acland Blvd, Ballston Spa, NY 02020 | Dental Hygienist | 1997-02-03 ~ 1998-01-31 |
| Theresa V Cooper · Krell | 37 Whistler Ave., Freeport, IL 61032 | Dental Hygienist | 1989-07-01 ~ 1990-06-30 |
Please comment or provide details below to improve the information on THERESA A PROVOST.
| 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).