WENDELL W WAKE DDS
Controlled Substance Registration for Practitioner


Address: 115 West Main Street, Stamford, CT 06902

WENDELL W WAKE DDS (Credential# 153018) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

WENDELL W WAKE DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002365. The credential type is controlled substance registration for practitioner. The expiration date is February 28, 1997. The business address is 115 West Main Street, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name WENDELL W WAKE DDS
Credential ID 153018
Credential Number CSP.0002365
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 115 West Main Street
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE
Expiration Date 1997-02-28
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
699446 2.002132 Dentist 1901-01-01 1996-02-05 - 1997-01-31 INACTIVE

Office Location

Street Address 115 WEST MAIN STREET
City STAMFORD
State CT
Zip Code 06902

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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