ANTONETT NGOC-MAI THAI DDS
Controlled Substance Registration for Practitioner


Address: 555 W. 59st #4e, New York, NY 10019

ANTONETT NGOC-MAI THAI DDS (Credential# 411205) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ANTONETT NGOC-MAI THAI DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037836. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 555 W. 59st #4e, New York, NY 10019. The current status is inactive.

Basic Information

Licensee Name ANTONETT NGOC-MAI THAI DDS
Credential ID 411205
Credential Number CSP.0037836
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 555 W. 59st #4e
New York
NY 10019
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-07-25
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address 555 w. 59st #4E
City NEW YORK
State NY
Zip Code 10019

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Competitor

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City NEW YORK
Zip Code 10019
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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