JOSEPH M DWORKIN
Controlled Substance Registration for Practitioner


Address: 497 Main St, Ansonia, CT 06401

JOSEPH M DWORKIN (Credential# 155641) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 18, 1994. The license expiration date date is June 1, 1996. The license status is INACTIVE.

Business Overview

JOSEPH M DWORKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014449. The credential type is controlled substance registration for practitioner. The effective date is May 18, 1994. The expiration date is June 1, 1996. The business address is 497 Main St, Ansonia, CT 06401. The current status is inactive.

Basic Information

Licensee Name JOSEPH M DWORKIN
Credential ID 155641
Credential Number CSP.0014449
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 497 Main St
Ansonia
CT 06401
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-05-18
Expiration Date 1996-06-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
699565 2.002812 Dentist 1953-08-08 1995-01-20 - 1996-02-29 INACTIVE

Office Location

Street Address 497 MAIN ST
City ANSONIA
State CT
Zip Code 06401

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Competitor

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City ANSONIA
Zip Code 06401
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANSONIA

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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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