Dale E Podziewski Dental Hygienist
69 Crystal Ridge Drive, Ellington, CT 06029


Dale E Podziewski is licensed in the eLicensing system of Connecticut. The license credential ID is 686160. The license type is Dental Hygienist. The license status is ACTIVE. The address is 69 Crystal Ridge Drive, Ellington, CT 06029. The zip code is 06029.


Dale E Podziewski · 69 Crystal Ridge Drive, Ellington, CT 06029

Credential ID 686160
Name DALE E PODZIEWSKI
Type INDIVIDUAL
Address 69 Crystal Ridge Drive
Ellington, CT 06029
License Credential Dental Hygienist
Full Credential Code 13.006232
Credential Type 13
Credential Number 6232
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/02/1999
Effective Date 05/01/2016
Expiration Date 04/30/2017
Record Refresh Date 08/02/201

street_number: 69
route: Crystal Ridge Drive (Crystal Ridge Dr)
neighborhood, political: Crystal Lake
locality, political: Ellington
admin_level_2, political: Tolland County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06029
types : premise
latitude: 41.924131
longitude: -72.3584824
latlng: (41.924131, -72.3584824)


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