HERMAN K DOLIN
Controlled Substance Registration for Practitioner


Address: 15 Columbus Ave, Niantic, CT 06357

HERMAN K DOLIN (Credential# 150111) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 2, 1993. The license expiration date date is June 1, 1995. The license status is INACTIVE.

Business Overview

HERMAN K DOLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002977. The credential type is controlled substance registration for practitioner. The effective date is June 2, 1993. The expiration date is June 1, 1995. The business address is 15 Columbus Ave, Niantic, CT 06357. The current status is inactive.

Basic Information

Licensee Name HERMAN K DOLIN
Credential ID 150111
Credential Number CSP.0002977
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Columbus Ave
Niantic
CT 06357
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-06-02
Expiration Date 1995-06-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
699497 2.002439 Dentist 1949-07-16 1993-06-24 - 1994-05-31 INACTIVE

Office Location

Street Address 15 COLUMBUS AVE
City NIANTIC
State CT
Zip Code 06357

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Competitor

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City NIANTIC
Zip Code 06357
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NIANTIC

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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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