KELLY K SMITH (Credential# 686239) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is November 29, 2005. The license expiration date date is November 30, 2006. The license status is INACTIVE.
KELLY K SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.006311. The credential type is dental hygienist. The effective date is November 29, 2005. The expiration date is November 30, 2006. The business address is Churchilllaan 2666 Hs, Amsterdam. The current status is inactive.
| Licensee Name | KELLY K SMITH |
| Credential ID | 686239 |
| Credential Number | 13.006311 |
| Credential Type | Dental Hygienist |
| Business Address |
Churchilllaan 2666 Hs Amsterdam |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-03-13 |
| Effective Date | 2005-11-29 |
| Expiration Date | 2006-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | CHURCHILLLAAN 2666 HS |
| City | AMSTERDAM |
| City | AMSTERDAM |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + AMSTERDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Pace | P 0 Box 151, Harwinton, CT 06791-0151 | Dental Hygienist | 2019-12-01 ~ 2020-11-30 |
| Mary E Kelly | 64 Laurel Rd, Wilbraham, MA 01095 | Dental Hygienist | 2008-12-01 ~ 2010-01-31 |
| Kelly J Byrd | 117 Allison Dr, Fountain Inn, SC 29644-8500 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Michaela R Kelly | 15 Fitch Rd, Lisbon, CT 06351-7012 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Kelly A Burns | 69 Joseph Rd, Framingham, MA 01701-7639 | Dental Hygienist | 2019-08-01 ~ 2020-07-31 |
| Kelly A Mattesen | 440 Main St, Portland, CT 06480 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Kelly L Mccluskey | 126 Mountain St, Ellington, CT 06029-4310 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Kelly M Souza | 28 First Avenue, Wyoming, RI 02898 | Dental Hygienist | 2012-01-01 ~ 2012-12-31 |
| Kelly L Polson | 3 Rye Field Rd Apt A, Old Lyme, CT 06371-4301 | Dental Hygienist | 2014-01-01 ~ 2014-12-31 |
| Arlene C Rivard | 49 Kelly Rd Ext, Middlebury, CT 06762 | Dental Hygienist | 2011-12-01 ~ 2012-11-30 |
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| 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).