LAWRENCE P RYAN DDS
Controlled Substance Registration for Practitioner


Address: 11 S Main St, Marlborough, CT 06447-1553

LAWRENCE P RYAN DDS (Credential# 160967) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LAWRENCE P RYAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017641. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 11 S Main St, Marlborough, CT 06447-1553. The current status is active.

Basic Information

Licensee Name LAWRENCE P RYAN DDS
Credential ID 160967
Credential Number CSP.0017641
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 S Main St
Marlborough
CT 06447-1553
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
702061 2.007529 Dentist 1989-09-01 2019-10-01 - 2020-09-30 ACTIVE
741680 22.007529 Dental Anesthesia/Conscious Sedation Permit 1991-09-11 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 11 S MAIN ST
City MARLBOROUGH
State CT
Zip Code 06447-1553

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Nicolette M Banbury 21 Cheney Road, Marlborough, CT 06447 Professional Counselor 2020-09-01 ~ 2021-08-31
Lynn E Wohlfert 117 North Main Street, Marlborough, CT 06447 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Jo-ellen D Beam 120 Edstrom Rd, Marlborough, CT 06447 Registered Nurse 2020-07-01 ~ 2021-06-30
Kevin J Pease 82 South Main St, Marlborough, CT 06447 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Lea L Lee 38 Keirstead Circle, Marlborough, CT 06447 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City MARLBOROUGH
Zip Code 06447
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARLBOROUGH

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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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