GERARD E BOGUCKI
Dentist


Address: 68 Empire Way, Bristol, CT 06010-3071

GERARD E BOGUCKI (Credential# 700817) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is RETIRED.

Business Overview

GERARD E BOGUCKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.005072. The credential type is dentist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 68 Empire Way, Bristol, CT 06010-3071. The current status is retired.

Basic Information

Licensee Name GERARD E BOGUCKI
Credential ID 700817
Credential Number 2.005072
Credential Type Dentist
Business Address 68 Empire Way
Bristol
CT 06010-3071
Business Type INDIVIDUAL
Status RETIRED - RETIRED FROM PROFESSION
Active 1
Issue Date 1976-09-18
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2020-01-07

Other licenses

ID Credential Code Credential Type Issue Term Status
151952 CSP.0003397 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 68 EMPIRE WAY
City BRISTOL
State CT
Zip Code 06010-3071

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Olivia Bogucki 68 Empire Way, Bristol, CT 06010-3071 Pharmacy Technician 2008-04-28 ~ 2009-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Chad M Lobo 34 Empire Way, Bristol, CT 06010-3071 Emergency Medical Technician ~

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Competitor

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City BRISTOL
Zip Code 06010
License Type Dentist
License Type + County Dentist + BRISTOL

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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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