PHILIP A JENSEN
Dentist


Address: 10 Talcott Ridge Road, Farmington, CT 06032

PHILIP A JENSEN (Credential# 703675) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

PHILIP A JENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009223. The credential type is dentist. The effective date is September 21, 2004. The expiration date is September 30, 2005. The business address is 10 Talcott Ridge Road, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name PHILIP A JENSEN
Credential ID 703675
Credential Number 2.009223
Credential Type Dentist
Business Address 10 Talcott Ridge Road
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-09-02
Effective Date 2004-09-21
Expiration Date 2005-09-30
Refresh Date 2009-07-08

Office Location

Street Address 10 Talcott Ridge Road
City Farmington
State CT
Zip Code 06032

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Stephanie A. Fink 22 Kent Lane, Farmington, CT 06032 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Farmington
Zip Code 06032
License Type Dentist
License Type + County Dentist + Farmington

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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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