RUSSELL A GIORDANO DMD
Controlled Substance Registration for Practitioner


Address: 21 Chadwick Dr, Old Lyme, CT 06371-2106

RUSSELL A GIORDANO DMD (Credential# 153185) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

RUSSELL A GIORDANO DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005814. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 21 Chadwick Dr, Old Lyme, CT 06371-2106. The current status is inactive.

Basic Information

Licensee Name RUSSELL A GIORDANO DMD
Credential ID 153185
Credential Number CSP.0005814
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21 Chadwick Dr
Old Lyme
CT 06371-2106
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
699848 2.003410 Dentist 1960-07-01 2010-11-01 - 2011-10-31 INACTIVE

Office Location

Street Address 21 CHADWICK DR
City OLD LYME
State CT
Zip Code 06371-2106

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Competitor

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City OLD LYME
Zip Code 06371
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME

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Bruce R Little Md 28 Russell St, Litchfield, CT 06759 Controlled Substance Registration for Practitioner 1997-03-18 ~ 1998-02-28
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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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