GERALD BELKIN DDS
Controlled Substance Registration for Practitioner


Address: 210 Applegate Rd, Fairfield, CT 06825-2739

GERALD BELKIN DDS (Credential# 148440) 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

GERALD BELKIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013178. 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 210 Applegate Rd, Fairfield, CT 06825-2739. The current status is inactive.

Basic Information

Licensee Name GERALD BELKIN DDS
Credential ID 148440
Credential Number CSP.0013178
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 210 Applegate Rd
Fairfield
CT 06825-2739
Business Type INDIVIDUAL
Status INACTIVE
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
701599 2.006655 Dentist 1985-06-15 2012-06-01 - 2013-05-31 INACTIVE

Office Location

Street Address 210 APPLEGATE RD
City FAIRFIELD
State CT
Zip Code 06825-2739

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Competitor

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City FAIRFIELD
Zip Code 06825
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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