KATHRYN P PAYNE
Dentist


Address: 164 Otrobando Ave., Norwich, CT 06360

KATHRYN P PAYNE (Credential# 701856) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.

Business Overview

KATHRYN P PAYNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007172. The credential type is dentist. The effective date is September 23, 2004. The expiration date is October 31, 2005. The business address is 164 Otrobando Ave., Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name KATHRYN P PAYNE
Credential ID 701856
Credential Number 2.007172
Credential Type Dentist
Business Address 164 Otrobando Ave.
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-11-25
Effective Date 2004-09-23
Expiration Date 2005-10-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
154110 CSP.0015861 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 164 OTROBANDO AVE.
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type Dentist
License Type + County Dentist + NORWICH

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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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