ROGER P DESILETS DDS
Controlled Substance Registration for Practitioner


Address: 67 Highland St., Worcester, MA 01609

ROGER P DESILETS DDS (Credential# 530159) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ROGER P DESILETS DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045376. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 67 Highland St., Worcester, MA 01609. The current status is inactive.

Basic Information

Licensee Name ROGER P DESILETS DDS
Credential ID 530159
Credential Number CSP.0045376
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 67 Highland St.
Worcester
MA 01609
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-17
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
704464 2.010012 Dentist 2009-03-24 2015-09-01 - 2016-08-31 INACTIVE

Office Location

Street Address 67 Highland St.
City Worcester
State MA
Zip Code 01609

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Competitor

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City Worcester
Zip Code 01609
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Worcester

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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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