RAHUL MALIK
Dentist


Address: 422 John Mahar Hwy Unit 103, Braintree, MA 02184-6587

RAHUL MALIK (Credential# 1075201) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.

Business Overview

RAHUL MALIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010776. The credential type is dentist. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 422 John Mahar Hwy Unit 103, Braintree, MA 02184-6587. The current status is inactive.

Basic Information

Licensee Name RAHUL MALIK
Credential ID 1075201
Credential Number 2.010776
Credential Type Dentist
Business Address 422 John Mahar Hwy Unit 103
Braintree
MA 02184-6587
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-06-12
Effective Date 2018-08-01
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1078060 CSP.0052730 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-06-21 2012-06-21 - 2013-02-28 INACTIVE

Office Location

Street Address 422 JOHN MAHAR HWY UNIT 103
City BRAINTREE
State MA
Zip Code 02184-6587

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Competitor

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City BRAINTREE
Zip Code 02184
License Type Dentist
License Type + County Dentist + BRAINTREE

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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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