MARISA A REOS DMD
Controlled Substance Registration for Practitioner


Address: 333 E 102nd St Apt 533, New York, NY 10029-5661

MARISA A REOS DMD (Credential# 520799) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 4, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MARISA A REOS DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044918. The credential type is controlled substance registration for practitioner. The effective date is December 4, 2008. The expiration date is February 28, 2009. The business address is 333 E 102nd St Apt 533, New York, NY 10029-5661. The current status is inactive.

Basic Information

Licensee Name MARISA A REOS DMD
Credential ID 520799
Credential Number CSP.0044918
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 333 E 102nd St Apt 533
New York
NY 10029-5661
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-12-04
Effective Date 2008-12-04
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
704401 2.009949 Dentist 2008-10-06 2008-10-06 - 2009-02-28 INACTIVE

Office Location

Street Address 333 E 102ND ST APT 533
City NEW YORK
State NY
Zip Code 10029-5661

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City NEW YORK
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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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