KALYAN K CHAKRAVARTI DDS
Dentist


Address: 1420 Main St Suite 104, Glastonbury, CT 06033

KALYAN K CHAKRAVARTI DDS (Credential# 701561) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.

Business Overview

KALYAN K CHAKRAVARTI DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.006579. The credential type is dentist. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 1420 Main St Suite 104, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name KALYAN K CHAKRAVARTI DDS
Credential ID 701561
Credential Number 2.006579
Credential Type Dentist
Business Address 1420 Main St Suite 104
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-10-20
Effective Date 2018-05-01
Expiration Date 2019-04-30
Refresh Date 2019-09-09

Other licenses

ID Credential Code Credential Type Issue Term Status
155391 CSP.0014373 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 1420 MAIN ST SUITE 104
City GLASTONBURY
State CT
Zip Code 06033

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Competitor

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

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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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