JAI-MUKUND S PATEL
Provisional Faculty Dentist


Address: 88 Brittany Farms Rd Apt 220, New Britain, CT 06053-1228

JAI-MUKUND S PATEL (Credential# 1459783) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

JAI-MUKUND S PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011964-PROV. The credential type is provisional faculty dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 88 Brittany Farms Rd Apt 220, New Britain, CT 06053-1228. The current status is active.

Basic Information

Licensee Name JAI-MUKUND S PATEL
Credential ID 1459783
Credential Number 2.011964-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 88 Brittany Farms Rd Apt 220
New Britain
CT 06053-1228
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-01-30
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1301831 CSP.0061115 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-07-27 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 88 BRITTANY FARMS RD APT 220
City NEW BRITAIN
State CT
Zip Code 06053-1228

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Competitor

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City NEW BRITAIN
Zip Code 06053
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty Dentist + NEW BRITAIN

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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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