MARY BETH D DAHLSTROM-GREEN (Credential# 785244) is licensed (Dietitian/nutritionist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MARY BETH D DAHLSTROM-GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #59.000003. The credential type is dietitian/nutritionist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 133 Popple Bridge Rd, Griswold, CT 06351-3535. The current status is active.
| Licensee Name | MARY BETH D DAHLSTROM-GREEN |
| Credential ID | 785244 |
| Credential Number | 59.000003 |
| Credential Type | Dietitian/Nutritionist |
| Business Address |
133 Popple Bridge Rd Griswold CT 06351-3535 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-12-02 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-01 |
| Street Address | 133 POPPLE BRIDGE RD |
| City | GRISWOLD |
| State | CT |
| Zip Code | 06351-3535 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
| Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
| Find all Licenses in zip 06351 | |||
| City | GRISWOLD |
| Zip Code | 06351 |
| License Type | Dietitian/Nutritionist |
| License Type + County | Dietitian/Nutritionist + GRISWOLD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Opfer | 11 Green Tree Rd, Yorktown Heights, NY 10598-6327 | Dietitian/nutritionist | 2020-06-01 ~ 2021-05-31 |
| Beth J Rosen | 120 Elk Dr, Southbury, CT 06488-4704 | Dietitian/nutritionist | 2019-08-01 ~ 2020-07-31 |
| Beth Saman | 150 Burwell Rd, New Hartford, CT 06057-4111 | Dietitian/nutritionist | 2020-01-01 ~ 2020-12-31 |
| Beth A Chatfield | 35 Verville Road, Avon, CT 06001 | Dietitian/nutritionist | 2019-09-01 ~ 2020-08-31 |
| Beth A Johnson | 122 Meadow Ridge Dr, Lebanon, CT 06249-2041 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
| Beth A Delucia | 7 Piscitello Drive, Branford, CT 06405 | Dietitian/nutritionist | 1999-07-23 ~ 2000-07-31 |
| Beth N Morse | 1045 Farmington Ave, West Hartford, CT 06107-2110 | Dietitian/nutritionist | 2013-08-01 ~ 2014-07-31 |
| Susan M. Green | 79 Westfort Dr, Meriden, CT 06451-3651 | Dietitian/nutritionist | 2019-12-01 ~ 2020-11-30 |
| Angela M Green | 919 Fawn St Fl 2, Baltimore, MD 21202-4413 | Dietitian/nutritionist | 2012-07-24 ~ 2013-05-31 |
| Hannah R Hardin | 2239 Green Shadows Cv, Memphis, TN 38119-6643 | Dietitian/nutritionist | ~ |
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| 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).