GEORGE M CODY DDS
Controlled Substance Registration for Practitioner


Address: 680 Bridgeport Ave, Shelton, CT 06484-4705

GEORGE M CODY DDS (Credential# 147484) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

GEORGE M CODY DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005317. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 680 Bridgeport Ave, Shelton, CT 06484-4705. The current status is inactive.

Basic Information

Licensee Name GEORGE M CODY DDS
Credential ID 147484
Credential Number CSP.0005317
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 680 Bridgeport Ave
Shelton
CT 06484-4705
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-21
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
700339 2.004264 Dentist 1970-07-15 2013-03-01 - 2014-02-28 INACTIVE

Office Location

Street Address 680 BRIDGEPORT AVE
City SHELTON
State CT
Zip Code 06484-4705

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Licensee Name Office Address Credential Effective / Expiration
Brian A Fusillo 680 Bridgeport Ave, Shelton, CT 06484-4705 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City SHELTON
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON

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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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