BRUCE KALLINEN DMD
Controlled Substance Registration for Practitioner


Address: 397 Long Hill Road, Groton, CT 06340

BRUCE KALLINEN DMD (Credential# 144249) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

BRUCE KALLINEN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009724. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 397 Long Hill Road, Groton, CT 06340. The current status is inactive.

Basic Information

Licensee Name BRUCE KALLINEN DMD
Credential ID 144249
Credential Number CSP.0009724
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 397 Long Hill Road
Groton
CT 06340
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
701177 2.005798 Dentist 1980-06-21 2004-12-28 - 2005-08-05 INACTIVE

Office Location

Street Address 397 LONG HILL ROAD
City GROTON
State CT
Zip Code 06340

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Competitor

Search similar business entities

City GROTON
Zip Code 06340
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON

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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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