License holder summary

KATHLEEN STACK is a Dental Hygienist licensed to practice in Connecticut. The address on file for KATHLEEN STACK is 28 ROYAL AVE, Providence, PROVIDENCE, RI, 02904-1908. This licensed professional license is current. The license was granted 04/01/2014 and expired on 03/31/2015.

Connecticut

Department of Consumer Protection

KATHLEEN STACK
Dental Hygienist
License number
7004
Date granted
04/01/2014
Date expires
03/31/2015
Class
Dental Hygienist
Status
Active
Address
28 ROYAL AVE, Providence, PROVIDENCE, RI, 02904-1908
ctlicensing.org
ID 503061
LAST UPDATED 2026-06-17 08:19:43 UTC

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