WALTER DOBLECKI DMD
Controlled Substance Registration for Practitioner


Address: 5 Church Lane Ste 3, East Lyme, CT 06333

WALTER DOBLECKI DMD (Credential# 160335) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

WALTER DOBLECKI DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018464. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 5 Church Lane Ste 3, East Lyme, CT 06333. The current status is inactive.

Basic Information

Licensee Name WALTER DOBLECKI DMD
Credential ID 160335
Credential Number CSP.0018464
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Church Lane Ste 3
East Lyme
CT 06333
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
700888 2.005209 Dentist 1990-09-01 2003-08-20 - 2004-09-30 INACTIVE

Office Location

Street Address 5 CHURCH LANE STE 3
City EAST LYME
State CT
Zip Code 06333

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Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Peter J Famiglietti Md 339 Flanders Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Beth A Stoddard 8 Greentree Drive, East Lyme, CT 06333 Registered Nurse 2020-07-01 ~ 2021-06-30
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Katherine E Whalen 339 Flanders Rd Ste 109, East Lyme, CT 06333 Physician/surgeon 2020-08-01 ~ 2021-07-31
May L Diep 88 Arbor Crossing, East Lyme, CT 06333 Nail Technician ~
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Competitor

Search similar business entities

City EAST LYME
Zip Code 06333
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME

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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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