DIANE JURACKA
Dental Hygienist


Address: 18 Delmont Street, Manchester, CT 06042

DIANE JURACKA (Credential# 685701) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is September 3, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

DIANE JURACKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.005771. The credential type is dental hygienist. The effective date is September 3, 2008. The expiration date is October 31, 2009. The business address is 18 Delmont Street, Manchester, CT 06042. The current status is inactive.

Basic Information

Licensee Name DIANE JURACKA
Credential ID 685701
Credential Number 13.005771
Credential Type Dental Hygienist
Business Address 18 Delmont Street
Manchester
CT 06042
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-10-27
Effective Date 2008-09-03
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Office Location

Street Address 18 Delmont Street
City MANCHESTER
State CT
Zip Code 06042

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James Power 16 Lawton Rd., Manchester, CT 06042 Medication Administration Certification 2018-08-03 ~ 2020-08-02
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Lisa A Surdam 22 Greenwood Drive, Manchester, CT 06042 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City MANCHESTER
Zip Code 06042
License Type Dental Hygienist
License Type + County Dental Hygienist + MANCHESTER

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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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