CARMEN C ACOSTA-LAKE
Dentist


Address: 3 Wells Park Drive, Yonkers, NY 10705

CARMEN C ACOSTA-LAKE (Credential# 703840) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 16, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.

Business Overview

CARMEN C ACOSTA-LAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009388. The credential type is dentist. The effective date is October 16, 2008. The expiration date is September 30, 2009. The business address is 3 Wells Park Drive, Yonkers, NY 10705. The current status is inactive.

Basic Information

Licensee Name CARMEN C ACOSTA-LAKE
Credential ID 703840
Credential Number 2.009388
Credential Type Dentist
Business Address 3 Wells Park Drive
Yonkers
NY 10705
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-11-10
Effective Date 2008-10-16
Expiration Date 2009-09-30
Refresh Date 2010-01-08

Office Location

Street Address 3 Wells Park Drive
City Yonkers
State NY
Zip Code 10705

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City Yonkers
Zip Code 10705
License Type Dentist
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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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