CAROL L WACKER DDS
Dentist


Address: 355 Greenfield Hill Rd, Fairfield, CT 06824-2126

CAROL L WACKER DDS (Credential# 704312) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is RETIRED.

Business Overview

CAROL L WACKER DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009860. The credential type is dentist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 355 Greenfield Hill Rd, Fairfield, CT 06824-2126. The current status is retired.

Basic Information

Licensee Name CAROL L WACKER DDS
Credential ID 704312
Credential Number 2.009860
Credential Type Dentist
Business Address 355 Greenfield Hill Rd
Fairfield
CT 06824-2126
Business Type INDIVIDUAL
Status RETIRED - RETIRED FROM PROFESSION
Active 1
Issue Date 2008-04-15
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
506763 CSP.0043717 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-07-01 2015-03-01 - 2017-02-28 INACTIVE
208419 RES.0756507 REAL ESTATE SALESPERSON - INACTIVE

Office Location

Street Address 355 GREENFIELD HILL RD
City FAIRFIELD
State CT
Zip Code 06824-2126

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Dentist
License Type + County Dentist + FAIRFIELD

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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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