CLAUDIA L DOMINGUEZ
Dental Hygienist


Address: 57-26 Van Doren Street, Corona, NY 11368

CLAUDIA L DOMINGUEZ (Credential# 686463) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is November 15, 2004. The license expiration date date is December 31, 2005. The license status is INACTIVE.

Business Overview

CLAUDIA L DOMINGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.006536. The credential type is dental hygienist. The effective date is November 15, 2004. The expiration date is December 31, 2005. The business address is 57-26 Van Doren Street, Corona, NY 11368. The current status is inactive.

Basic Information

Licensee Name CLAUDIA L DOMINGUEZ
Credential ID 686463
Credential Number 13.006536
Credential Type Dental Hygienist
Business Address 57-26 Van Doren Street
Corona
NY 11368
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-12-04
Effective Date 2004-11-15
Expiration Date 2005-12-31
Refresh Date 2009-07-08

Office Location

Street Address 57-26 Van Doren street
City Corona
State NY
Zip Code 11368

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City Corona
Zip Code 11368
License Type Dental Hygienist
License Type + County Dental Hygienist + Corona

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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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