NADER VAKILI DMD
Controlled Substance Registration for Practitioner


Address: 62 Loveland Street, Middletown, CT 06457

NADER VAKILI DMD (Credential# 186933) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

NADER VAKILI DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026273. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 62 Loveland Street, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name NADER VAKILI DMD
Credential ID 186933
Credential Number CSP.0026273
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 62 Loveland Street
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
702889 2.008434 Dentist 1997-10-24 1999-08-30 - 2000-08-31 INACTIVE

Office Location

Street Address 62 LOVELAND STREET
City MIDDLETOWN
State CT
Zip Code 06457

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Matthew William Fraulino 62 Loveland Street, Middletown, CT 06457 Notary Public Appointment 2019-07-16 ~ 2024-07-31
Elizabeth Cooper 62 Loveland Street, Middletown, CT 06457 Notary Public Appointment 1997-07-15 ~ 2002-07-31

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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