ROXANNE TAMAYO
MIHAILESCU, BORDIES


Address: 107 Alder St, Waterbury, CT 06708-3591

ROXANNE TAMAYO (Credential# 704317) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.

Business Overview

ROXANNE TAMAYO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009865. The credential type is dentist. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 107 Alder St, Waterbury, CT 06708-3591. The current status is inactive.

Basic Information

Licensee Name ROXANNE TAMAYO
Doing Business As MIHAILESCU, BORDIES
Credential ID 704317
Credential Number 2.009865
Credential Type Dentist
Business Address 107 Alder St
Waterbury
CT 06708-3591
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-05-01
Effective Date 2018-06-01
Expiration Date 2019-05-31
Refresh Date 2019-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
970430 CSP.0049126 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-10-14 2017-11-13 - 2019-02-28 LAPSED

Office Location

Street Address 107 ALDER ST
City WATERBURY
State CT
Zip Code 06708-3591

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Competitor

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City WATERBURY
Zip Code 06708
License Type Dentist
License Type + County Dentist + WATERBURY

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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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