MANG CHOU SHU DMD
Dentist


Address: 44 Starview Drive, Glastonbury, CT 06033

MANG CHOU SHU DMD (Credential# 703752) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

MANG CHOU SHU DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009300. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 44 Starview Drive, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name MANG CHOU SHU DMD
Credential ID 703752
Credential Number 2.009300
Credential Type Dentist
Business Address 44 Starview Drive
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-05-24
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-01-21

Other licenses

ID Credential Code Credential Type Issue Term Status
375506 CSP.0035341 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-09 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 44 Starview Drive
City Glastonbury
State CT
Zip Code 06033

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Competitor

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City Glastonbury
Zip Code 06033
License Type Dentist
License Type + County Dentist + Glastonbury

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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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