MICHAEL C CABASSA DDS
Controlled Substance Registration for Practitioner


Address: 492 Judson Ave, Mystic, CT 06355

MICHAEL C CABASSA DDS (Credential# 389794) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

MICHAEL C CABASSA DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036768. The credential type is controlled substance registration for practitioner. The effective date is March 27, 2006. The expiration date is February 28, 2007. The business address is 492 Judson Ave, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name MICHAEL C CABASSA DDS
Credential ID 389794
Credential Number CSP.0036768
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 492 Judson Ave
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-11-17
Effective Date 2006-03-27
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
702938 2.008485 Dentist 1998-06-26 2005-06-16 - 2006-06-30 INACTIVE

Office Location

Street Address 492 JUDSON AVE
City MYSTIC
State CT
Zip Code 06355

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Competitor

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City MYSTIC
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License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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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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