ROSHANAK S BAKHTIAR DMD
Controlled Substance Registration for Practitioner


Address: 2675 Whitney Ave, Hamden, CT 06518

ROSHANAK S BAKHTIAR DMD (Credential# 160752) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 15, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.

Business Overview

ROSHANAK S BAKHTIAR DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017605. The credential type is controlled substance registration for practitioner. The effective date is June 15, 1995. The expiration date is February 28, 1996. The business address is 2675 Whitney Ave, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name ROSHANAK S BAKHTIAR DMD
Credential ID 160752
Credential Number CSP.0017605
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2675 Whitney Ave
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-06-15
Expiration Date 1996-02-28
Refresh Date 2009-01-26

Office Location

Street Address 2675 WHITNEY AVE
City HAMDEN
State CT
Zip Code 06518

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Competitor

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City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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