RICHARD D GROSSMAN DDS
Dentist


Address: Po Box 374 195 Montowese St, Branford, CT 06405

RICHARD D GROSSMAN DDS (Credential# 699568) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

RICHARD D GROSSMAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.002815. The credential type is dentist. The effective date is March 20, 2007. The expiration date is March 31, 2008. The business address is Po Box 374 195 Montowese St, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name RICHARD D GROSSMAN DDS
Credential ID 699568
Credential Number 2.002815
Credential Type Dentist
Business Address Po Box 374 195 Montowese St
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1953-08-08
Effective Date 2007-03-20
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
150238 CSP.0005134 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address PO BOX 374 195 MONTOWESE ST
City BRANFORD
State CT
Zip Code 06405

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City BRANFORD
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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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