MARK J ROTH
Dentist


Address: 167 Sherwood Dr, Glastonbury, CT 06033-3727

MARK J ROTH (Credential# 700690) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is RETIRED.

Business Overview

MARK J ROTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004847. The credential type is dentist. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 167 Sherwood Dr, Glastonbury, CT 06033-3727. The current status is retired.

Basic Information

Licensee Name MARK J ROTH
Credential ID 700690
Credential Number 2.004847
Credential Type Dentist
Business Address 167 Sherwood Dr
Glastonbury
CT 06033-3727
Business Type INDIVIDUAL
Status RETIRED - RETIRED FROM PROFESSION
Active 1
Issue Date 1975-06-21
Effective Date 2018-08-01
Expiration Date 2019-07-31
Refresh Date 2018-07-05

Other licenses

ID Credential Code Credential Type Issue Term Status
151598 CSP.0001904 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 167 SHERWOOD DR
City GLASTONBURY
State CT
Zip Code 06033-3727

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City GLASTONBURY
Zip Code 06033
License Type Dentist
License Type + County Dentist + GLASTONBURY

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Norman K Roth Dds 45 Pembroke Rd, Darien, CT 06820-2220 Dentist 2015-04-01 ~ 2016-03-31
Craig A Roth 950 N. Krome Ave., Homestead, FL 33030 Dentist 2002-03-25 ~ 2003-04-30
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Lawrence Roth 923 Farmington Ave, West Hartford, CT 06107 Dentist 1992-03-24 ~ 1993-02-28
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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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