J LAWRENCE TANENBAUM DDS
Controlled Substance Registration for Practitioner


Address: 36 State St, N Haven, CT 06473

J LAWRENCE TANENBAUM DDS (Credential# 145108) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

J LAWRENCE TANENBAUM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006643. The credential type is controlled substance registration for practitioner. The effective date is April 4, 2008. The expiration date is February 28, 2009. The business address is 36 State St, N Haven, CT 06473. The current status is inactive.

Basic Information

Licensee Name J LAWRENCE TANENBAUM DDS
Credential ID 145108
Credential Number CSP.0006643
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 36 State St
N Haven
CT 06473
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2008-04-04
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 36 STATE ST
City N HAVEN
State CT
Zip Code 06473

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Competitor

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City N HAVEN
Zip Code 06473
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + N HAVEN

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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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