DERROL E RUDNICK DMD
Controlled Substance Registration for Practitioner


Address: 1105 Farmington Ave, Kensington, CT 06037

DERROL E RUDNICK DMD (Credential# 151865) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

DERROL E RUDNICK DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001779. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 1105 Farmington Ave, Kensington, CT 06037. The current status is inactive.

Basic Information

Licensee Name DERROL E RUDNICK DMD
Credential ID 151865
Credential Number CSP.0001779
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1105 Farmington Ave
Kensington
CT 06037
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
700365 2.004305 Dentist 1970-10-24 2005-02-22 - 2006-04-30 INACTIVE

Office Location

Street Address 1105 FARMINGTON AVE
City KENSINGTON
State CT
Zip Code 06037

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Competitor

Search similar business entities

City KENSINGTON
Zip Code 06037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KENSINGTON

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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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