THERESA A CASSANO DMD
Dentist


Address: 30-3b Charles St, Westwood, NJ 07675

THERESA A CASSANO DMD (Credential# 702323) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 23, 2002. The license expiration date date is July 31, 2003. The license status is INACTIVE.

Business Overview

THERESA A CASSANO DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007851. The credential type is dentist. The effective date is May 23, 2002. The expiration date is July 31, 2003. The business address is 30-3b Charles St, Westwood, NJ 07675. The current status is inactive.

Basic Information

Licensee Name THERESA A CASSANO DMD
Credential ID 702323
Credential Number 2.007851
Credential Type Dentist
Business Address 30-3b Charles St
Westwood
NJ 07675
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-10-05
Effective Date 2002-05-23
Expiration Date 2003-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
157540 CSP.0020630 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE
684784 13.004623 Dental Hygienist 1988-09-10 1992-08-26 - 1993-07-31 INACTIVE

Office Location

Street Address 30-3B CHARLES ST
City WESTWOOD
State NJ
Zip Code 07675

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Competitor

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City WESTWOOD
Zip Code 07675
License Type Dentist
License Type + County Dentist + WESTWOOD

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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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