CHRISTOPHER J BRAINARD DDS
Dentist


Address: 12 Roosevelt Avenue, Mystic, CT 06355

CHRISTOPHER J BRAINARD DDS (Credential# 703139) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 19, 2001. The license expiration date date is September 30, 2002. The license status is INACTIVE.

Business Overview

CHRISTOPHER J BRAINARD DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008687. The credential type is dentist. The effective date is July 19, 2001. The expiration date is September 30, 2002. The business address is 12 Roosevelt Avenue, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name CHRISTOPHER J BRAINARD DDS
Credential ID 703139
Credential Number 2.008687
Credential Type Dentist
Business Address 12 Roosevelt Avenue
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-11-02
Effective Date 2001-07-19
Expiration Date 2002-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
279441 CSP.0030918 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-05-17 - 2002-02-28 INACTIVE

Office Location

Street Address 12 ROOSEVELT AVENUE
City MYSTIC
State CT
Zip Code 06355

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City MYSTIC
Zip Code 06355
License Type Dentist
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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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