SUSAN M MODOS
Dental Hygienist


Address: 15 Maplewood Drive, Danbury, CT 06811

SUSAN M MODOS (Credential# 685195) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.

Business Overview

SUSAN M MODOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.005264. The credential type is dental hygienist. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 15 Maplewood Drive, Danbury, CT 06811. The current status is inactive.

Basic Information

Licensee Name SUSAN M MODOS
Credential ID 685195
Credential Number 13.005264
Credential Type Dental Hygienist
Business Address 15 Maplewood Drive
Danbury
CT 06811
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-01-23
Effective Date 2017-05-01
Expiration Date 2018-04-30
Refresh Date 2018-08-03

Office Location

Street Address 15 Maplewood Drive
City Danbury
State CT
Zip Code 06811

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Competitor

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City Danbury
Zip Code 06811
License Type Dental Hygienist
License Type + County Dental Hygienist + Danbury

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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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