THEODORE A NIEBLOOM
Dentist


Address: 17 Birchwood Drive, Livingston, NJ 07039

THEODORE A NIEBLOOM (Credential# 701888) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 25, 1992. The license expiration date date is May 31, 1993. The license status is INACTIVE.

Business Overview

THEODORE A NIEBLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007244. The credential type is dentist. The effective date is June 25, 1992. The expiration date is May 31, 1993. The business address is 17 Birchwood Drive, Livingston, NJ 07039. The current status is inactive.

Basic Information

Licensee Name THEODORE A NIEBLOOM
Credential ID 701888
Credential Number 2.007244
Credential Type Dentist
Business Address 17 Birchwood Drive
Livingston
NJ 07039
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-05-21
Effective Date 1992-06-25
Expiration Date 1993-05-31
Refresh Date 2009-07-08

Office Location

Street Address 17 BIRCHWOOD DRIVE
City LIVINGSTON
State NJ
Zip Code 07039

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Greg T Felner 311 Beaufort Avenue, Livingston, NJ 07039 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City LIVINGSTON
Zip Code 07039
License Type Dentist
License Type + County Dentist + LIVINGSTON

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Theodore D Spivack Dmd 172 Meadowmere Rd, Stratford, CT 06614-1625 Dentist 2015-10-01 ~ 2016-09-30
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Theodore J Gargano 26 Wood Rd, Branford, CT 06405-4936 Dentist 2020-05-01 ~ 2021-04-30
Theodore J Zervas Dmd 7 Park Place, Middletown, CT 06457 Dentist 2019-10-01 ~ 2020-09-30
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Theodore K Wu Dmd 65 Memorial Rd Suite 400, West Hartford, CT 06107 Dentist 2020-07-01 ~ 2021-06-30
Theodore W Zdeblick 51 North Main St, Southington, CT 06489 Dentist 2020-04-01 ~ 2021-03-31
Christopher J Curley 12 Theodore Roosevelt Dr, Blauvelt, NY 10913-1717 Dentist 2012-03-01 ~ 2013-02-28
Theodore R Hillhouse 24 Griswold Point, Old Lyme, CT 06371 Dentist 1994-09-08 ~ 1995-11-30
Theodore E Splaver 5500 N. Military Trail Apt. 274, Boca Raton, FL 33496-3406 Dentist 2018-01-01 ~ 2018-12-31

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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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