SANDRA RUSSELL
Dental Hygienist


Address: 207 Beechwood Ave., Bridgeport, CT 06604

SANDRA RUSSELL (Credential# 686223) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

SANDRA RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.006295. The credential type is dental hygienist. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 207 Beechwood Ave., Bridgeport, CT 06604. The current status is inactive.

Basic Information

Licensee Name SANDRA RUSSELL
Credential ID 686223
Credential Number 13.006295
Credential Type Dental Hygienist
Business Address 207 Beechwood Ave.
Bridgeport
CT 06604
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1999-12-20
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
877119 71.930263 Advanced Emergency Medical Technician 1993-04-07 - 1997-10-01 INACTIVE
863297 70.921191 Emergency Medical Technician 1992-01-01 - 1996-07-01 INACTIVE

Office Location

Street Address 207 BEECHWOOD AVE.
City Bridgeport
State CT
Zip Code 06604

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Competitor

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City Bridgeport
Zip Code 06604
License Type Dental Hygienist
License Type + County Dental Hygienist + Bridgeport

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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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