MALCOLM L WHITMAN DDS
Controlled Substance Registration for Practitioner


Address: 56 George St, Mendon, MA 01756-1138

MALCOLM L WHITMAN DDS (Credential# 518120) 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

MALCOLM L WHITMAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044799. 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 56 George St, Mendon, MA 01756-1138. The current status is inactive.

Basic Information

Licensee Name MALCOLM L WHITMAN DDS
Credential ID 518120
Credential Number CSP.0044799
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 56 George St
Mendon
MA 01756-1138
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-11-05
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
704413 2.009961 Dentist 2008-11-03 2008-11-03 - 2009-11-30 INACTIVE

Office Location

Street Address 56 GEORGE ST
City MENDON
State MA
Zip Code 01756-1138

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Competitor

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City MENDON
Zip Code 01756
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MENDON

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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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