EVAN D CHRISTENSEN DDS
Controlled Substance Registration for Practitioner


Address: 61 Sherman Street, Farifield, CT 06824

EVAN D CHRISTENSEN DDS (Credential# 892230) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

EVAN D CHRISTENSEN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046409. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 61 Sherman Street, Farifield, CT 06824. The current status is active.

Basic Information

Licensee Name EVAN D CHRISTENSEN DDS
Credential ID 892230
Credential Number CSP.0046409
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Sherman Street
Farifield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-08-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
704481 2.010029 Dentist 2009-05-05 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 61 SHERMAN STREET
City FARIFIELD
State CT
Zip Code 06824

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Competitor

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City FARIFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARIFIELD

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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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