JOHN C LATVIS JR (Credential# 700227) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.
JOHN C LATVIS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004063. The credential type is dentist. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 431 Witches Rock Rd, Bristol, CT 06010. The current status is inactive.
| Licensee Name | JOHN C LATVIS JR |
| Credential ID | 700227 |
| Credential Number | 2.004063 |
| Credential Type | Dentist |
| Business Address |
431 Witches Rock Rd Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1967-12-04 |
| Effective Date | 2017-09-01 |
| Expiration Date | 2018-08-31 |
| Refresh Date | 2019-04-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162982 | CSP.0023787 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-08 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 149119 | CSP.0001411 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 431 WITCHES ROCK RD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Dentist |
| License Type + County | Dentist + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Latvis Construction Co Inc | 16 Strong Rd, W Granby, CT 06090 | Home Improvement Contractor | 1995-03-07 ~ 1995-11-30 |
| Michelle A Latvis | 10 Cove Rd, Bristol, CT 06010 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Joy M Latvis | 1 Rye Lane, Rye, CT 03870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane Latvis | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 1993-11-07 ~ 1995-11-06 |
| Christopher J Latvis | 80 Washington St Apt A2, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert P Latvis Jr | 140 Farmstead Dr, South Windsor, CT 06074 | Public Service Technician - Telephone | 2000-10-01 ~ 2001-09-30 |
| Susan A. Mitchell-latvis | 103 Annawon Ave, West Haven, CT 06516-7008 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| John P Dow | 15 Mt. Joy Ave, Scarsdale, NY 10583 | Dentist | 2019-08-01 ~ 2020-07-31 |
| Ying Wan | 99 John St Apt 1704, New York, NY 10038-2928 | Dentist | 2017-06-14 ~ 2018-02-28 |
| John E Chicvak | 166-52 22 Avenue, Whitestone, NY 11357 | Dentist | 1993-11-18 ~ 1995-01-31 |
Please comment or provide details below to improve the information on JOHN C LATVIS JR.
| 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).