MICHAEL MOLLOW DMD
Controlled Substance Registration for Practitioner


Address: 337 Notch Hill Rd, North Branford, CT 06471-1826

MICHAEL MOLLOW DMD (Credential# 154389) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MICHAEL MOLLOW DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016845. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 337 Notch Hill Rd, North Branford, CT 06471-1826. The current status is active.

Basic Information

Licensee Name MICHAEL MOLLOW DMD
Credential ID 154389
Credential Number CSP.0016845
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 337 Notch Hill Rd
North Branford
CT 06471-1826
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
701962 2.007360 Dentist 1988-10-15 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 337 NOTCH HILL RD
City NORTH BRANFORD
State CT
Zip Code 06471-1826

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Swati A Khambe 337 Notch Hill Rd, North Branford, CT 06471-1826 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Barry I Stark 337 Notch Hill Rd, North Branford, CT 06471 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Sandra L Cappello 33 Edgewood Dr, North Branford, CT 06471 Registered Nurse 2020-08-01 ~ 2021-07-31
Melissa T Anderson 14 Pine Hollow Rd, North Branford, CT 06471 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City NORTH BRANFORD
Zip Code 06471
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD

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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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