THERESA B CONWAY DMD
Controlled Substance Registration for Practitioner


Address: 60 Washington Avenue, Hamden, CT 06518

THERESA B CONWAY DMD (Credential# 227576) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

THERESA B CONWAY DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029151. The credential type is controlled substance registration for practitioner. The effective date is April 13, 2001. The expiration date is February 28, 2002. The business address is 60 Washington Avenue, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name THERESA B CONWAY DMD
Credential ID 227576
Credential Number CSP.0029151
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Washington Avenue
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-04-13
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
703060 2.008608 Dentist 1999-04-30 2000-11-07 - 2001-10-31 INACTIVE

Office Location

Street Address 60 WASHINGTON AVENUE
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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