DIANA LIM DDS
Dentist


Address: 65 Boulder Brook Dr, Stamford, CT 06903

DIANA LIM DDS (Credential# 703033) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 28, 2003. The license expiration date date is July 31, 2004. The license status is INACTIVE.

Business Overview

DIANA LIM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008581. The credential type is dentist. The effective date is July 28, 2003. The expiration date is July 31, 2004. The business address is 65 Boulder Brook Dr, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name DIANA LIM DDS
Credential ID 703033
Credential Number 2.008581
Credential Type Dentist
Business Address 65 Boulder Brook Dr
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-02-05
Effective Date 2003-07-28
Expiration Date 2004-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
222253 CSP.0028783 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-06-12 - 2004-02-28 INACTIVE

Office Location

Street Address 65 BOULDER BROOK DR
City STAMFORD
State CT
Zip Code 06903

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Competitor

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City STAMFORD
Zip Code 06903
License Type Dentist
License Type + County Dentist + STAMFORD

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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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