MIKHAIL ILIZAROV DDS
Dentist


Address: Advanced Dentistry, Stamford, CT 06905

MIKHAIL ILIZAROV DDS (Credential# 702775) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 12, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

MIKHAIL ILIZAROV DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008315. The credential type is dentist. The effective date is June 12, 2000. The expiration date is July 31, 2001. The business address is Advanced Dentistry, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MIKHAIL ILIZAROV DDS
Credential ID 702775
Credential Number 2.008315
Credential Type Dentist
Business Address Advanced Dentistry
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-10-25
Effective Date 2000-06-12
Expiration Date 2001-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
47918 CSP.0024977 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address ADVANCED DENTISTRY
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Dentist
License Type + County Dentist + STAMFORD

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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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