JAMIE L MOTYKA DMD
Controlled Substance Registration for Practitioner


Address: 710 King St, Bristol, CT 06010-4477

JAMIE L MOTYKA DMD (Credential# 185689) 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

JAMIE L MOTYKA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025977. 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 710 King St, Bristol, CT 06010-4477. The current status is active.

Basic Information

Licensee Name JAMIE L MOTYKA DMD
Credential ID 185689
Credential Number CSP.0025977
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 710 King St
Bristol
CT 06010-4477
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 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
702847 2.008391 Dentist 1997-07-11 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 710 KING ST
City BRISTOL
State CT
Zip Code 06010-4477

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Competitor

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City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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