DOUGLAS R BURBACH DMD (Credential# 701521) is licensed (Dentist) 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 RETIRED.
DOUGLAS R BURBACH DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.006503. The credential type is dentist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 19 Bennett Cir, Voluntown, CT 06384-1705. The current status is retired.
| Licensee Name | DOUGLAS R BURBACH DMD |
| Credential ID | 701521 |
| Credential Number | 2.006503 |
| Credential Type | Dentist |
| Business Address |
19 Bennett Cir Voluntown CT 06384-1705 |
| Business Type | INDIVIDUAL |
| Status | RETIRED - RETIRED FROM PROFESSION |
| Active | 1 |
| Issue Date | 1984-07-02 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151075 | CSP.0012353 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-01 - 2018-02-21 | RETIRED |
| Street Address | 19 BENNETT CIR |
| City | VOLUNTOWN |
| State | CT |
| Zip Code | 06384-1705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Max S Hallowell | 41 Bennett Cir, Voluntown, CT 06384-1705 | Emergency Medical Technician | 2013-10-15 ~ 2016-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bronson Construction Inc · Bronson Pools | 129 Beach Pond Rd, Voluntown, CT 06384 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria A Schwery | 212 Preston City Road, Voluntown, CT 06384 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paula Eileen Patton | 734 Beach Pond Road, Voluntown, CT 06384 | Master's Level Social Worker - Temporary Permit | ~ |
| Amy I Doorley | 56 N Shore Road, Voluntown, Ct, RI 06384 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lars M Rafeldt | 21 North Shore Rd, Voluntown, CT 06384 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mary F Brayman | 52 Sand Hill Road, Voluntown, CT 06384 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Denise L Dannibale · Lorah | 952 Ekonk Hill Road, Voluntown, CT 06384 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Carol-lynn Yerkes | 83 Beachdale Rd., Voluntown, CT 06384 | Crane Operator | 2017-06-09 ~ 2019-06-08 |
| Monica A Picco | 107 James Rd, Voluntown, CT 06384 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Kim L Hume · Hume-ormsby | 281 Gallup Rd, Voluntown, CT 06384 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06384 | |||
| City | VOLUNTOWN |
| Zip Code | 06384 |
| License Type | Dentist |
| License Type + County | Dentist + VOLUNTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathalie Burbach | 8 Grey Fox Trail, Avon, CT 06001 | Registered Nurse | 1992-04-24 ~ 1993-04-30 |
| Todd R Burbach | N4289 Bartons Rd N, Oakfield, WI 53065-9781 | Public Service Technician - Telephone | 2011-09-06 ~ 2012-09-30 |
| Douglas H Mahn | 32-38 200th St, Bayside, NY 11361 | Dentist | 1996-08-06 ~ 1997-05-31 |
| Douglas J Macko | 55 Meriden Ave, Southington, CT 06489 | Dentist | 2015-02-01 ~ 2016-01-31 |
| Douglas S Mann | 69 Deer Hill Ave, Danbury, CT 06810-7903 | Dentist | 2012-06-01 ~ 2013-05-31 |
| Douglas H Macgilpin | 145 Penn Dr, West Hartford, CT 06119-1041 | Dentist | 2018-12-01 ~ 2019-11-30 |
| Douglas A Rollins | 2560 Dixwell Ave Ste 3a, Hamden, CT 06514-1852 | Dentist | 2019-11-01 ~ 2020-10-31 |
| Douglas A Treyz | 70 Riverside Drive, Ridgefield, CT 06877 | Dentist | 1992-03-24 ~ 1993-02-28 |
| Douglas S M Callis | 515 Old Toll Road, Madison, CT 06443 | Dentist | 2020-02-01 ~ 2021-01-31 |
| Douglas M Trepp | 500 West Putnam Ave., Greenwich, CT 06830 | Dentist | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on DOUGLAS R BURBACH DMD.
| 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).