ANCA BAZILE
Dentist


Address: 52 Beach Road, Fairfield, CT 06824

ANCA BAZILE (Credential# 703808) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.

Business Overview

ANCA BAZILE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009356. The credential type is dentist. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 52 Beach Road, Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name ANCA BAZILE
Credential ID 703808
Credential Number 2.009356
Credential Type Dentist
Business Address 52 Beach Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-08-31
Effective Date 2010-05-01
Expiration Date 2011-04-30
Refresh Date 2011-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
400790 CSP.0037270 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-04-12 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 52 Beach Road
City Fairfield
State CT
Zip Code 06824

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Owen B Schneider 52 Beach Road, Fairfield, CT 06824 Physician/surgeon 2020-06-01 ~ 2021-05-31
Monica M Jain Md 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Angela C Candelaria 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Rahul S Anand Md 52 Beach Road, Fairfield, CT 06824 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter J Molinaro 52 Beach Road, Fairfield, CT 06430 Physician/surgeon 1998-09-21 ~ 1999-11-30
Reuben Ravden 52 Beach Road, Fairfield, CT 06430 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28

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Competitor

Search similar business entities

City Fairfield
Zip Code 06824
License Type Dentist
License Type + County Dentist + Fairfield

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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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