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 2024-03-06 02:02:10 UTC
LAST UPDATED 2024-03-06 02:02:10 UTC
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