JAY S MANDELL DMD
Controlled Substance Registration for Practitioner


Address: Rocky Hill Dental Assoc PC, Wethersfield, CT 06109

JAY S MANDELL DMD (Credential# 147099) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JAY S MANDELL DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001109. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is Rocky Hill Dental Assoc PC, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name JAY S MANDELL DMD
Credential ID 147099
Credential Number CSP.0001109
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Rocky Hill Dental Assoc PC
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 1999-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2019-01-09

Office Location

Street Address ROCKY HILL DENTAL ASSOC PC
City WETHERSFIELD
State CT
Zip Code 06109

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Matthew R Dobos 33 Oxford St, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Samantha Grabbe 17 Rockland St, Wethersfield, CT 06109 Registered Nurse 2020-08-01 ~ 2021-07-31
Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Ups Store (the) 1077 Silas Deane Hwy, Wethersfield, CT 06109 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amber H Washington 103 Parkview Drive, Wethersfield, CT 06109 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen A Mullady · Brancati 75 Dale Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD

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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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