CLAIRE G FAGAN
Dentist

Address: 96 Hilltop Dr, Weatogue, CT 060899672

CLAIRE G FAGAN (Credential# 1354689) is Dentist licensed with Connecticut Department of Consumer Protection. The license expiration date is 2018-11-30.

Business Overview

Name CLAIRE G FAGAN
Credential ID 1354689
Credential Code 2.011633
Credential Dentist
Address 96 Hilltop Dr
Weatogue
CT 060899672
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-06-17
Effective Date 2017-12-01
Expiration Date 2018-11-30
Refresh Date 2017-11-06

Other licenses

ID Credential Code Credential Type Term Status
1365117 CSP.0063451 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-01 - 2019-02-28 ACTIVE
1273394 PTN.0017492 PHARMACY TECHNICIAN 2015-03-20 - 2016-03-31 INACTIVE

Office Location

Street Address 96 HILLTOP DR
City WEATOGUE
State CT
Zip Code 060899672

Entities with the same location

Name Office Address Expiration Date
CLAIRE G FAGAN 96 Hilltop Dr, Weatogue, CT 060899672 2019-02-28
CLAIRE G FAGAN 96 Hilltop Dr, Weatogue, CT 060899672 2016-03-31

Competitor

Search similar business entities

City WEATOGUE
Zip Code 06089
License Type Dentist
License Type + County Dentist + WEATOGUE

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).