MOHAMMAD R TAVAKOLIAN DMD
Dentist


Address: 16 Mallard Drive, Avon, CT 06001

MOHAMMAD R TAVAKOLIAN DMD (Credential# 702951) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.

Business Overview

MOHAMMAD R TAVAKOLIAN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008498. The credential type is dentist. The effective date is April 2, 2003. The expiration date is March 31, 2004. The business address is 16 Mallard Drive, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name MOHAMMAD R TAVAKOLIAN DMD
Credential ID 702951
Credential Number 2.008498
Credential Type Dentist
Business Address 16 Mallard Drive
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-02
Effective Date 2003-04-02
Expiration Date 2004-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
158666 CSP.0027308 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-14 - 2004-02-28 INACTIVE

Office Location

Street Address 16 MALLARD DRIVE
City AVON
State CT
Zip Code 06001

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Angela L Johnson 16 Mallard Drive, Avon, CT 06001 Notary Public Appointment 1995-12-05 ~ 2000-12-31

Licenses in the same zip code

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Julie R Deitch 5 Bridle Path, Avon, CT 06001 Dental Hygienist 2020-07-01 ~ 2021-06-30
Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
Coffee Trade Inc (the) 21 West Main St, Avon, CT 06001 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth Stockwell 44 Applewood Lane, Avon, CT 06001 Real Estate Salesperson ~
Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Dentist
License Type + County Dentist + AVON

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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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