KAPISH GOYAL DDS
Controlled Substance Registration for Practitioner


Address: 19 Nathan Pratt Dr, Concord, MA 01742

KAPISH GOYAL DDS (Credential# 1029606) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 17, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

KAPISH GOYAL DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051242. The credential type is controlled substance registration for practitioner. The effective date is July 17, 2013. The expiration date is February 28, 2015. The business address is 19 Nathan Pratt Dr, Concord, MA 01742. The current status is inactive.

Basic Information

Licensee Name KAPISH GOYAL DDS
Credential ID 1029606
Credential Number CSP.0051242
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Nathan Pratt Dr
Concord
MA 01742
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-08-19
Effective Date 2013-07-17
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
989785 2.010510 Dentist 2011-05-03 2011-05-03 - 2012-04-30 INACTIVE

Office Location

Street Address 19 nathan pratt dr
City concord
State MA
Zip Code 01742

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Competitor

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City concord
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License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + concord

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

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

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