HENRY A BLOM
Dentist


Address: 48-70 St, Brooklyn, NY 11209

HENRY A BLOM (Credential# 702448) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 15, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

HENRY A BLOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007980. The credential type is dentist. The effective date is April 15, 1996. The expiration date is June 30, 1997. The business address is 48-70 St, Brooklyn, NY 11209. The current status is inactive.

Basic Information

Licensee Name HENRY A BLOM
Credential ID 702448
Credential Number 2.007980
Credential Type Dentist
Business Address 48-70 St
Brooklyn
NY 11209
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-01-07
Effective Date 1996-04-15
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Office Location

Street Address 48-70 ST
City BROOKLYN
State NY
Zip Code 11209

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Stephen A Caliendo 175 Marine Ave, Brooklyn, NY 11209 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Louis M Forte 24 70th Street, Brooklyn, NY 11209 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Nathan L Rumsey 326 Sterling Dr, Brooklyn, NY 11209 Professional Engineer 2019-02-28 ~ 2020-01-31
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Jane Kovalyuk 9205 Ridge Boulevard Apt 4 J, Brooklyn, NY 11209 Notary Public Appointment 2004-03-02 ~ 2009-03-31
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Competitor

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City BROOKLYN
Zip Code 11209
License Type Dentist
License Type + County Dentist + BROOKLYN

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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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