PADMA MUKHERJEE
Provisional Faculty Dentist


Address: 55 Maplewood Ave, West Hartford, CT 06119-1630

PADMA MUKHERJEE (Credential# 704349) is licensed (Provisional Faculty Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2010. The license expiration date date is July 31, 2011. The license status is INACTIVE.

Business Overview

PADMA MUKHERJEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009897-PROV. The credential type is provisional faculty dentist. The effective date is August 1, 2010. The expiration date is July 31, 2011. The business address is 55 Maplewood Ave, West Hartford, CT 06119-1630. The current status is inactive.

Basic Information

Licensee Name PADMA MUKHERJEE
Credential ID 704349
Credential Number 2.009897-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 55 Maplewood Ave
West Hartford
CT 06119-1630
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-07-01
Effective Date 2010-08-01
Expiration Date 2011-07-31
Refresh Date 2011-11-07

Office Location

Street Address 55 MAPLEWOOD AVE
City WEST HARTFORD
State CT
Zip Code 06119-1630

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Cara J Swintelski 31 Maplewood Ave, West Hartford, CT 06119-1630 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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Liza M Aguiar 29 Maplewood Ave, West Hartford, CT 06119-1630 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-01-15
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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty 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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