TINA R S THEROUX DMD
Controlled Substance Registration for Practitioner


Address: 53 Stonehill Dr, Killingworth, CT 06419

TINA R S THEROUX DMD (Credential# 183098) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

TINA R S THEROUX DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025687. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 53 Stonehill Dr, Killingworth, CT 06419. The current status is inactive.

Basic Information

Licensee Name TINA R S THEROUX DMD
Credential ID 183098
Credential Number CSP.0025687
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 53 Stonehill Dr
Killingworth
CT 06419
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
702842 2.008386 Dentist 1997-07-03 2000-06-01 - 2001-08-31 INACTIVE

Office Location

Street Address 53 STONEHILL DR
City KILLINGWORTH
State CT
Zip Code 06419

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Yvonne Bradley 42 Fawn Hill Road, Killingworth, CT 06419 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City KILLINGWORTH
Zip Code 06419
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KILLINGWORTH

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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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