JOAN S ALLEN DMD
Dentist


Address: 464 Montauk Ave, New London, CT 06320

JOAN S ALLEN DMD (Credential# 701339) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 6, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.

Business Overview

JOAN S ALLEN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.006109. The credential type is dentist. The effective date is August 6, 1997. The expiration date is October 31, 1998. The business address is 464 Montauk Ave, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name JOAN S ALLEN DMD
Credential ID 701339
Credential Number 2.006109
Credential Type Dentist
Business Address 464 Montauk Ave
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-03-20
Effective Date 1997-08-06
Expiration Date 1998-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
152840 CSP.0010720 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 464 MONTAUK AVE
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type Dentist
License Type + County Dentist + NEW LONDON

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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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