TAKAYO HATAKEYAMA
Dentist


Address: 3777 Independence Ave., Bronx, NY 10463

TAKAYO HATAKEYAMA (Credential# 702462) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 27, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.

Business Overview

TAKAYO HATAKEYAMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007994. The credential type is dentist. The effective date is October 27, 2003. The expiration date is October 31, 2004. The business address is 3777 Independence Ave., Bronx, NY 10463. The current status is inactive.

Basic Information

Licensee Name TAKAYO HATAKEYAMA
Credential ID 702462
Credential Number 2.007994
Credential Type Dentist
Business Address 3777 Independence Ave.
Bronx
NY 10463
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-03-11
Effective Date 2003-10-27
Expiration Date 2004-10-31
Refresh Date 2009-07-08

Office Location

Street Address 3777 INDEPENDENCE AVE.
City BRONX
State NY
Zip Code 10463

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Yvelisse Aybar 3850 Sedgwick Avenue, Bronx, NY 10463 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
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City BRONX
Zip Code 10463
License Type Dentist
License Type + County Dentist + BRONX

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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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