ALLA GORENBEYN DMD
Controlled Substance Registration for Practitioner


Address: 1653 Diamond Lake Rd, Glastonbury, CT 06033-4051

ALLA GORENBEYN DMD (Credential# 337616) 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

ALLA GORENBEYN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033552. 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 1653 Diamond Lake Rd, Glastonbury, CT 06033-4051. The current status is active.

Basic Information

Licensee Name ALLA GORENBEYN DMD
Credential ID 337616
Credential Number CSP.0033552
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1653 Diamond Lake Rd
Glastonbury
CT 06033-4051
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-05-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
703564 2.009112 Dentist 2003-01-13 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 1653 DIAMOND LAKE RD
City GLASTONBURY
State CT
Zip Code 06033-4051

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Alka C Colagiuri 1653 Diamond Lake Rd, Glastonbury, CT 06033-4051 Real Estate Salesperson 2016-06-17 ~ 2017-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Qin Zuo 1579 Diamond Lake Rd, Glastonbury, CT 06033-4051 Registered Nurse 2019-11-01 ~ 2020-10-31
Nicholas J Palermo 1559 Diamond Lake Rd, Glastonbury, CT 06033-4051 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Colleen S Gilday 1615 Diamond Lake Rd, Glastonbury, CT 06033-4051 Bingo Operator 2015-01-28 ~

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Competitor

Search similar business entities

City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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