DANIEL FABER DMD (Credential# 342781) 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 INACTIVE.
DANIEL FABER DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033603. 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 3 Baldwin Pl, Westport, CT 06880-4024. The current status is inactive.
Licensee Name | DANIEL FABER DMD |
Credential ID | 342781 |
Credential Number | CSP.0033603 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3 Baldwin Pl Westport CT 06880-4024 |
Business Type | INDIVIDUAL |
Status | INACTIVE - SURRENDERED |
Issue Date | 2003-05-22 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
703592 | 2.009140 | Dentist | 2003-04-10 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 3 BALDWIN PL |
City | WESTPORT |
State | CT |
Zip Code | 06880-4024 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tali B Faber | 3 Baldwin Pl, Westport, CT 06880-4024 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew John Faber | 133 Silver St, North Granby, CT 06060-1509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas P Pietris | 2268 Daniel Island Drive, Daniel Island, SC 29492 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Daniel Southern Md | Daniel Owen Smith Southern, M.d., Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel Morgensztern | Fmp 121, New Haven, CT 06510-8028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Daniel Lee | 680 Mix Avenue, Apt #3a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Daniel Lim | 111 Park St Apt 8e, New Haven, CT 06511-5455 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Daniel M Mclennon Dds | Po Box 327, Coventry, CT 06238-0327 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Daniel J Leonard Iv | 826 Elm St, New Haven, CT 06511-4010 | Controlled Substance Registration for Practitioner | 2011-07-12 ~ 2013-02-28 |
Daniel J Degala | 99 Arbor Dr, Ho Ho Kus, NJ 07423-1647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel G Kramer | Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).