THOMAS M LEWIS DMD
Controlled Substance Registration for Practitioner


Address: 10 Fairway Dr, Ledyard, CT 06339

THOMAS M LEWIS DMD (Credential# 146582) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

THOMAS M LEWIS DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008840. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 10 Fairway Dr, Ledyard, CT 06339. The current status is inactive.

Basic Information

Licensee Name THOMAS M LEWIS DMD
Credential ID 146582
Credential Number CSP.0008840
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Fairway Dr
Ledyard
CT 06339
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
701097 2.005623 Dentist 1901-01-01 2006-07-20 - 2007-07-31 INACTIVE

Office Location

Street Address 10 FAIRWAY DR
City LEDYARD
State CT
Zip Code 06339

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Competitor

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City LEDYARD
Zip Code 06339
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEDYARD

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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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