JOHN WIDLAK DMD (Credential# 163468) 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.
JOHN WIDLAK DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023910. 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 544 Barrimore Drive, Columbia, SC 29229. The current status is active.
| Licensee Name | JOHN WIDLAK DMD |
| Credential ID | 163468 |
| Credential Number | CSP.0023910 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
544 Barrimore Drive Columbia SC 29229 |
| 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 | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702666 | 2.008204 | Dentist | 1995-12-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 488756 | RES.0786992 | REAL ESTATE SALESPERSON | - | INACTIVE |
| Street Address | 544 Barrimore drive |
| City | Columbia |
| State | SC |
| Zip Code | 29229 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adedayo Aderoju | 544 Barrimore Dr, Columbia, SC 29229 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Patricia A Cook | 203 Ashley Hall Rd, Columbia, SC 29229 | Real Estate Salesperson | 2001-08-01 ~ 2002-05-31 |
| Victoria R Mcneil-brock | 328 Indigo Springs Drive, Columbia, SC 29229 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Robert J Drinkwater | 107 Lake Carolina Blvd, Columbia, SC 29229 | Radiographer | 2015-01-01 ~ 2015-12-31 |
| Michael Dhunjishah | 22 Faversham Court, Columbia, SC 29229 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Miriam E Joe | 105 Parsons Mill Lane, Columbia, SC 29229 | Licensed Practical Nurse | 1999-08-05 ~ 2000-08-31 |
| Randall B Duncan | 422 Chalmers Lane, Columbia, SC 29229 | Plumbing & Piping Unlimited Journeyperson | 2004-11-01 ~ 2005-10-31 |
| Dallas N. Edwards Jr | 1028 Wotan Road, Columbia, SC 29229 | Pharmacist | 2003-02-01 ~ 2004-01-31 |
| Susan M Drinkwater | 107 Lake Carolina Blvd, Columbia, SC 29229 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Montre D Lewis | 317 Old Iron Rd, Columbia, SC 29229-6578 | Hairdresser/cosmetician | 2018-07-01 ~ 2020-06-30 |
| Find all Licenses in zip 29229 | |||
| City | Columbia |
| Zip Code | 29229 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Columbia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Widlak Dds | 189 Hickory Hill Rd, New Britain, CT 06052-1009 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| John P Salerno | P.o. Box 848, Fairfield, CT 06824-6541 | Controlled Substance Registration for Practitioner | 2019-12-19 ~ 2021-02-28 |
| John Lum | 4-6 Union Ave #20, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Fatse | 324 Elm St, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| John J Cho | 111 E 210th St, Bronx, NY 10467-2401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John M De Figueiredo | Po Box 573, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John N Utz | 197 Norwich-new, Uncasville, CT 06382 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Girald | Po Box 11, Newbury, NH 03255 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-17 |
| John J. Dannon | Po Box 607, Canaan, CT 06018-0607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JOHN WIDLAK DMD.
| 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).