MICHAEL ROSEN DDS
Controlled Substance Registration for Practitioner


Address: 566 Lido Lane, Woodmere, NY 11598

MICHAEL ROSEN DDS (Credential# 465870) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

MICHAEL ROSEN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041250. The credential type is controlled substance registration for practitioner. The effective date is March 21, 2007. The expiration date is February 29, 2008. The business address is 566 Lido Lane, Woodmere, NY 11598. The current status is inactive.

Basic Information

Licensee Name MICHAEL ROSEN DDS
Credential ID 465870
Credential Number CSP.0041250
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 566 Lido Lane
Woodmere
NY 11598
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-03-21
Effective Date 2007-03-21
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
704033 2.009581 Dentist 2006-04-03 2006-09-13 - 2007-09-30 INACTIVE

Office Location

Street Address 566 LIDO LANE
City WOODMERE
State NY
Zip Code 11598

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Competitor

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City WOODMERE
Zip Code 11598
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODMERE

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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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