FREDERICK BERLIN DDS
Dentist


Address: 3h Putnam Green, Greenwich, CT 06830

FREDERICK BERLIN DDS (Credential# 702923) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2009. The license expiration date date is March 31, 2010. The license status is INACTIVE.

Business Overview

FREDERICK BERLIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008469. The credential type is dentist. The effective date is March 25, 2009. The expiration date is March 31, 2010. The business address is 3h Putnam Green, Greenwich, CT 06830. The current status is inactive.

Basic Information

Licensee Name FREDERICK BERLIN DDS
Credential ID 702923
Credential Number 2.008469
Credential Type Dentist
Business Address 3h Putnam Green
Greenwich
CT 06830
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-04-17
Effective Date 2009-03-25
Expiration Date 2010-03-31
Refresh Date 2010-07-07

Other licenses

ID Credential Code Credential Type Issue Term Status
195431 CSP.0026921 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-03 - 2009-02-28 INACTIVE

Office Location

Street Address 3H PUTNAM GREEN
City GREENWICH
State CT
Zip Code 06830

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Competitor

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City GREENWICH
Zip Code 06830
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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