License holder summary

THERESA PROVOST is a Dental Hygienist licensed to practice in Connecticut. The address on file for THERESA PROVOST is 122 BELLWOOD RD, SPRINGFIELD, MA, 01119. This licensed professional license is current. The license was granted 01/01/2014 and expired on 12/31/2014.

Connecticut

Department of Consumer Protection

THERESA PROVOST
Dental Hygienist
License number
4883
Date granted
01/01/2014
Date expires
12/31/2014
Class
Dental Hygienist
Status
Active
Address
122 BELLWOOD RD, SPRINGFIELD, MA, 01119
ctlicensing.org
ID 501150
LAST UPDATED 2026-03-25 01:21:04 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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