KATHY P LAM DDS
Dentist


Address: 23-9 Shirley St, Waterbury, CT 06708

KATHY P LAM DDS (Credential# 703618) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2005. The license expiration date date is April 30, 2006. The license status is INACTIVE.

Business Overview

KATHY P LAM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009166. The credential type is dentist. The effective date is April 15, 2005. The expiration date is April 30, 2006. The business address is 23-9 Shirley St, Waterbury, CT 06708. The current status is inactive.

Basic Information

Licensee Name KATHY P LAM DDS
Credential ID 703618
Credential Number 2.009166
Credential Type Dentist
Business Address 23-9 Shirley St
Waterbury
CT 06708
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-06-18
Effective Date 2005-04-15
Expiration Date 2006-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
342248 CSP.0033672 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 23-9 SHIRLEY ST
City WATERBURY
State CT
Zip Code 06708

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Competitor

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City WATERBURY
Zip Code 06708
License Type Dentist
License Type + County Dentist + WATERBURY

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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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