ROBERT WACHEN DDS
Controlled Substance Registration for Practitioner


Address: 3 Dwayne Rd, Old Saybrook, CT 06475-1114

ROBERT WACHEN DDS (Credential# 153003) 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

ROBERT WACHEN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002559. 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 3 Dwayne Rd, Old Saybrook, CT 06475-1114. The current status is inactive.

Basic Information

Licensee Name ROBERT WACHEN DDS
Credential ID 153003
Credential Number CSP.0002559
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Dwayne Rd
Old Saybrook
CT 06475-1114
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
700272 2.004131 Dentist 1901-01-01 2016-01-01 - 2016-12-31 INACTIVE

Office Location

Street Address 3 DWAYNE RD
City OLD SAYBROOK
State CT
Zip Code 06475-1114

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Nan S Wachen 3 Dwayne Rd, Old Saybrook, CT 06475-1114 Registered Nurse 2015-04-01 ~ 2016-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cory P Fagan 11 Dwayne Rd, Old Saybrook, CT 06475-1114 Engineer-in-training 2011-10-18 ~ 2021-10-18

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Competitor

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City OLD SAYBROOK
Zip Code 06475
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD SAYBROOK

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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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