DOUGLAS B KECK DMD (Credential# 702286) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DOUGLAS B KECK DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007814. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 17360 Galway Run Ct, Bonita Springs, FL 34135-9060. The current status is active.
| Licensee Name | DOUGLAS B KECK DMD |
| Credential ID | 702286 |
| Credential Number | 2.007814 |
| Credential Type | Dentist |
| Business Address |
17360 Galway Run Ct Bonita Springs FL 34135-9060 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-07-06 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159964 | CSP.0020277 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 17360 GALWAY RUN CT |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-9060 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James E Pierce | 28401 Las Palmas Circle, Bonita Springs, FL 34135 | Architect | 2020-08-01 ~ 2021-07-31 |
| Candace G Reber | 28101 Mandolin Ct., Unit 112, Bonita Springs, FL 34135 | Licensed Practical Nurse | 2019-01-01 ~ 2019-12-31 |
| Eleanor N Torres | 24808 Dietz Drive, Bonita Springs, FL 34135 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Marie Tartaglia | 15098 Reef Lane, Bonita Springs, FL 34135 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Nancy R Riddle | 28637 San Lucas Ln #202, Bonita Springs, FL 34135 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Mark S Adimando | 11301 Monte Carlo Boulevard, Bonita Springs, FL 34135 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Arjan Kallojeri | 11163 St Roman Way, Bonita Springs, FL 34135 | Limited Sheet Metal Journeyperson | 2019-09-11 ~ 2020-08-31 |
| Francine Fradette | 26437 Lucky Stone Road, Bonita Springs, FL 34135 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Kathleen A Kelly | 10831 Halfmoon Shoal Rd., Bonita Springs, FL 34135 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Suzanne Yannielli | 8531 Violeta St, Estero, FL 34135 | Barber | 2018-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 34135 | |||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
| License Type | Dentist |
| License Type + County | Dentist + BONITA SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arlin D Keck · Keck Tech | 34198 Gromley Rd, Salem, OH 44460 | Professional Engineer | 1989-05-08 ~ 1990-01-31 |
| Mackenzie Keck Inc | 434 Sand Shore Rd, Hackettstown, NJ 07840-5520 | Major Contractor | 2014-07-01 ~ 2015-06-30 |
| Keck School of Medicine- University of Southern California | 1000 S Fremont Ave Bldg A-6, Alhambra, CA 91803-8800 | Public Charity-exempt From Financial Requirements | 2011-11-16 ~ |
| Douglas R Burbach Dmd | 19 Bennett Cir, Voluntown, CT 06384-1705 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Douglas J Macko | 55 Meriden Ave, Southington, CT 06489 | Dentist | 2015-02-01 ~ 2016-01-31 |
| Douglas H Mahn | 32-38 200th St, Bayside, NY 11361 | Dentist | 1996-08-06 ~ 1997-05-31 |
| Douglas S M Callis | 515 Old Toll Road, Madison, CT 06443 | Dentist | 2020-02-01 ~ 2021-01-31 |
| Holly Douglas Matty | 23 Waregan Rd, Brooklyn, CT 06234 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Douglas H Macgilpin | 145 Penn Dr, West Hartford, CT 06119-1041 | Dentist | 2018-12-01 ~ 2019-11-30 |
| Douglas A Treyz | 70 Riverside Drive, Ridgefield, CT 06877 | Dentist | 1992-03-24 ~ 1993-02-28 |
Please comment or provide details below to improve the information on DOUGLAS B KECK DMD.
| 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).