MOLLIE E GRISWOLD DDS
Controlled Substance Registration for Practitioner


Address: 47 Oak St 2nd Flr, Stamford, CT 06905

MOLLIE E GRISWOLD DDS (Credential# 468631) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MOLLIE E GRISWOLD DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041364. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 47 Oak St 2nd Flr, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MOLLIE E GRISWOLD DDS
Credential ID 468631
Credential Number CSP.0041364
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 47 Oak St 2nd Flr
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-04-19
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
704149 2.009697 Dentist 2007-03-14 2007-09-04 - 2008-10-31 INACTIVE

Office Location

Street Address 47 OAK ST 2ND FLR
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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