GREGORY MATHIEU DDS
Controlled Substance Registration for Practitioner


Address: 14 Hemlock Lane, Avon, CT 06001

GREGORY MATHIEU DDS (Credential# 173346) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

GREGORY MATHIEU DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024426. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 14 Hemlock Lane, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name GREGORY MATHIEU DDS
Credential ID 173346
Credential Number CSP.0024426
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Hemlock Lane
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
702702 2.008240 Dentist 1996-05-10 2009-11-01 - 2010-10-31 INACTIVE

Office Location

Street Address 14 HEMLOCK LANE
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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