IKECHUKWU P EBO
Dentist


Address: 8044 Harmony Lakes, Lithonia, GA 30058

IKECHUKWU P EBO (Credential# 702387) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 28, 1998. The license expiration date date is June 30, 1999. The license status is INACTIVE.

Business Overview

IKECHUKWU P EBO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007917. The credential type is dentist. The effective date is September 28, 1998. The expiration date is June 30, 1999. The business address is 8044 Harmony Lakes, Lithonia, GA 30058. The current status is inactive.

Basic Information

Licensee Name IKECHUKWU P EBO
Credential ID 702387
Credential Number 2.007917
Credential Type Dentist
Business Address 8044 Harmony Lakes
Lithonia
GA 30058
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-06-01
Effective Date 1998-09-28
Expiration Date 1999-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
163096 CSP.0021092 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-10-11 - 1996-02-28 INACTIVE

Office Location

Street Address 8044 HARMONY LAKES
City LITHONIA
State GA
Zip Code 30058

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Competitor

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City LITHONIA
Zip Code 30058
License Type Dentist
License Type + County Dentist + LITHONIA

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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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