JOANNA M DOUGLASS
Dentist


Address: 20 Buena Vista Road, West Hartford, CT 06107

JOANNA M DOUGLASS (Credential# 704541) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.

Business Overview

JOANNA M DOUGLASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.P07768. The credential type is dentist. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 20 Buena Vista Road, West Hartford, CT 06107. The current status is inactive.

Basic Information

Licensee Name JOANNA M DOUGLASS
Credential ID 704541
Credential Number 2.P07768
Credential Type Dentist
Business Address 20 Buena Vista Road
West Hartford
CT 06107
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-12-13
Effective Date 2018-04-01
Expiration Date 2019-03-31
Refresh Date 2019-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
46525 CSP.0025126 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 20 BUENA VISTA ROAD
City WEST HARTFORD
State CT
Zip Code 06107

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Elizabeth M Ineson 4 Linwold Dr, West Htfd, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Sarah G Potter 19 Westland Ave, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Jessica C Abreu 14 Deepwood Lane, West Hartford, CT 06107 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
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Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Dentist
License Type + County Dentist + WEST HARTFORD

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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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