DOUGLAS W GREENLAW DMD
Controlled Substance Registration for Practitioner


Address: 45 Cobblestone Rd, Glastonbury, CT 06033

DOUGLAS W GREENLAW DMD (Credential# 153691) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

DOUGLAS W GREENLAW DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004738. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 45 Cobblestone Rd, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name DOUGLAS W GREENLAW DMD
Credential ID 153691
Credential Number CSP.0004738
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 Cobblestone Rd
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
700619 2.004719 Dentist 1974-07-02 2007-12-06 - 2008-12-31 INACTIVE

Office Location

Street Address 45 COBBLESTONE RD
City GLASTONBURY
State CT
Zip Code 06033

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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