WILLIAM J SHUKAITIS DDS
Controlled Substance Registration for Practitioner


Address: 59 Pine Street, Waterbury, CT 06310

WILLIAM J SHUKAITIS DDS (Credential# 147618) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 30, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

WILLIAM J SHUKAITIS DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000715. The credential type is controlled substance registration for practitioner. The effective date is April 30, 1997. The expiration date is February 28, 1998. The business address is 59 Pine Street, Waterbury, CT 06310. The current status is inactive.

Basic Information

Licensee Name WILLIAM J SHUKAITIS DDS
Credential ID 147618
Credential Number CSP.0000715
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 59 Pine Street
Waterbury
CT 06310
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-04-30
Expiration Date 1998-02-28
Refresh Date 2005-12-15

Office Location

Street Address 59 PINE STREET
City WATERBURY
State CT
Zip Code 06310

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Competitor

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City WATERBURY
Zip Code 06310
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY

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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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