TANNAZ MALEKZADEH DMD
Dentist


Address: 38 N.main St#24, West Hartford, CT 06107

TANNAZ MALEKZADEH DMD (Credential# 703668) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

TANNAZ MALEKZADEH DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009216. The credential type is dentist. The effective date is July 7, 2004. The expiration date is July 31, 2005. The business address is 38 N.main St#24, West Hartford, CT 06107. The current status is inactive.

Basic Information

Licensee Name TANNAZ MALEKZADEH DMD
Credential ID 703668
Credential Number 2.009216
Credential Type Dentist
Business Address 38 N.main St#24
West Hartford
CT 06107
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-08-21
Effective Date 2004-07-07
Expiration Date 2005-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
354634 CSP.0034334 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 38 N.MAIN ST#24
City WEST HARTFORD
State CT
Zip Code 06107

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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Dentist
License Type + County Dentist + WEST HARTFORD

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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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