ELIAS MIKAEL CHATAH
Provisional Faculty Dentist


Address: 127 Tunxis Village, Farmington, CT 06032

ELIAS MIKAEL CHATAH (Credential# 1531986) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

ELIAS MIKAEL CHATAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012361-PROV. The credential type is provisional faculty dentist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 127 Tunxis Village, Farmington, CT 06032. The current status is active.

Basic Information

Licensee Name ELIAS MIKAEL CHATAH
Credential ID 1531986
Credential Number 2.012361-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 127 Tunxis Village
Farmington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-09-07
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1598962 CSP.0069514 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-09-11 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 127 Tunxis Village
City Farmington
State CT
Zip Code 06032

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Competitor

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City Farmington
Zip Code 06032
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty Dentist + Farmington

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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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