NORMAN J CAVANAGH
Physician/surgeon


Address: 109 Fox Den Road, Glastonbury, CT 06033

NORMAN J CAVANAGH (Credential# 552510) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

NORMAN J CAVANAGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034915. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 109 Fox Den Road, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name NORMAN J CAVANAGH
Credential ID 552510
Credential Number 1.034915
Credential Type Physician/Surgeon
Business Address 109 Fox Den Road
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-10-20
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-12

Other licenses

ID Credential Code Credential Type Issue Term Status
701591 2.006642 Dentist 1985-05-11 2020-03-01 - 2021-02-28 ACTIVE
276168 CSP.0023899 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
741655 22.006642 Dental Anesthesia/Conscious Sedation Permit 1988-04-01 1996-03-25 - 1997-04-30 INACTIVE
154975 CSP.0015153 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-07-22 - 1996-08-01 INACTIVE

Office Location

Street Address 109 Fox Den Road
City Glastonbury
State CT
Zip Code 06033

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Competitor

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City Glastonbury
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Glastonbury

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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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