JEREMIAH N O'DWYER DDS
Controlled Substance Registration for Practitioner


Address: 15 Middle Tpke W, Manchester, CT 06040-4045

JEREMIAH N O'DWYER DDS (Credential# 161593) 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

JEREMIAH N O'DWYER DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023446. 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 15 Middle Tpke W, Manchester, CT 06040-4045. The current status is active.

Basic Information

Licensee Name JEREMIAH N O'DWYER DDS
Credential ID 161593
Credential Number CSP.0023446
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Middle Tpke W
Manchester
CT 06040-4045
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 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
702620 2.008157 Dentist 1995-07-07 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 15 MIDDLE TPKE W
City MANCHESTER
State CT
Zip Code 06040-4045

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Competitor

Search similar business entities

City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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