ROBERT RICCIARDELLO DMD
Dentist


Address: 45 Esquire Dr Apt C, Manchester, CT 06040-2439

ROBERT RICCIARDELLO DMD (Credential# 701033) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 20, 1997. The license expiration date date is December 31, 1998. The license status is INACTIVE.

Business Overview

ROBERT RICCIARDELLO DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.005493. The credential type is dentist. The effective date is October 20, 1997. The expiration date is December 31, 1998. The business address is 45 Esquire Dr Apt C, Manchester, CT 06040-2439. The current status is inactive.

Basic Information

Licensee Name ROBERT RICCIARDELLO DMD
Credential ID 701033
Credential Number 2.005493
Credential Type Dentist
Business Address 45 Esquire Dr Apt C
Manchester
CT 06040-2439
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-11-18
Effective Date 1997-10-20
Expiration Date 1998-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
150265 CSP.0008488 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 45 ESQUIRE DR APT C
City MANCHESTER
State CT
Zip Code 06040-2439

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Competitor

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City MANCHESTER
Zip Code 06040
License Type Dentist
License Type + County Dentist + MANCHESTER

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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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