IRENE BLOCK DMD
Dentist


Address: 1212 E Putnam Ave, Greenwich, CT 06878

IRENE BLOCK DMD (Credential# 701988) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.

Business Overview

IRENE BLOCK DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007409. The credential type is dentist. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 1212 E Putnam Ave, Greenwich, CT 06878. The current status is inactive.

Basic Information

Licensee Name IRENE BLOCK DMD
Credential ID 701988
Credential Number 2.007409
Credential Type Dentist
Business Address 1212 E Putnam Ave
Greenwich
CT 06878
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-03-11
Effective Date 2010-09-01
Expiration Date 2011-08-31
Refresh Date 2011-12-02

Other licenses

ID Credential Code Credential Type Issue Term Status
158443 CSP.0017004 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 1212 E PUTNAM AVE
City GREENWICH
State CT
Zip Code 06878

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Competitor

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City GREENWICH
Zip Code 06878
License Type Dentist
License Type + County Dentist + GREENWICH

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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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