ANNA ZAK DDS
Controlled Substance Registration for Practitioner


Address: 1600 S East Rd, Farmington, CT 06032-2610

ANNA ZAK DDS (Credential# 516204) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ANNA ZAK DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044707. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1600 S East Rd, Farmington, CT 06032-2610. The current status is inactive.

Basic Information

Licensee Name ANNA ZAK DDS
Credential ID 516204
Credential Number CSP.0044707
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1600 S East Rd
Farmington
CT 06032-2610
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-10-16
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
704392 2.009940 Dentist 2008-08-29 2008-10-10 - 2009-10-31 INACTIVE

Office Location

Street Address 1600 S EAST RD
City FARMINGTON
State CT
Zip Code 06032-2610

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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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