BENJAMIN PODURGIEL III
Dentist


Address: 820 Stafford Avenue, Bristol, CT 06010

BENJAMIN PODURGIEL III (Credential# 702217) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 27, 1992. The license expiration date date is April 30, 1993. The license status is INACTIVE.

Business Overview

BENJAMIN PODURGIEL III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007731. The credential type is dentist. The effective date is May 27, 1992. The expiration date is April 30, 1993. The business address is 820 Stafford Avenue, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name BENJAMIN PODURGIEL III
Credential ID 702217
Credential Number 2.007731
Credential Type Dentist
Business Address 820 Stafford Avenue
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-08-16
Effective Date 1992-05-27
Expiration Date 1993-04-30
Refresh Date 2009-07-08

Office Location

Street Address 820 STAFFORD AVENUE
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type Dentist
License Type + County Dentist + BRISTOL

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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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