DONALD J CASE DMD (Credential# 741625) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DONALD J CASE DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.004974. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 27 Bridge St, Stamford, CT 06905. The current status is active.
| Licensee Name | DONALD J CASE DMD |
| Credential ID | 741625 |
| Credential Number | 22.004974 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
27 Bridge St Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147474 | CSP.0004435 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 700762 | 2.004974 | Dentist | 1976-05-15 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 27 BRIDGE ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Naushad R Edibam Dmd | 27 Bridge St, Stamford, CT 06905-4501 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Clifford C Evans Dmd | 27 Bridge St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Christopher J Cuomo | 16 Cannon Dr, Newtown, CT 06470-1751 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| George A Murphy IIi | 110 Hopmeadow St, Weatogue, CT 06089-9407 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Peter W Bauer | 116 Cook Av, Meriden, CT 06450 | Dental Anesthesia/conscious Sedation Permit | 1999-03-23 ~ 2000-04-30 |
| William J Lucey Jr | 391 Main St, Bristol, CT 06010 | Dental Anesthesia/conscious Sedation Permit | 1999-03-01 ~ 1999-09-14 |
| Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Anthony P Tufaro | 501 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1992-04-24 ~ 1993-04-30 |
| Garrick Alex | 23 Maple Ave, Greenwich, CT 06830-5620 | Dental Anesthesia/conscious Sedation Permit | 2020-05-20 ~ 2021-05-31 |
| Erik M Sayles | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2020-04-01 ~ 2021-03-31 |
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| 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).