CARLOS M CRUZ CHU
Provisional Faculty Dentist


Address: 1600 S Joyce St Apt 1222, Arlington, VA 22202-5126

CARLOS M CRUZ CHU (Credential# 704512) 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 May 26, 2011. The license status is INACTIVE.

Business Overview

CARLOS M CRUZ CHU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010060-PROV. The credential type is provisional faculty dentist. The effective date is August 1, 2010. The expiration date is May 26, 2011. The business address is 1600 S Joyce St Apt 1222, Arlington, VA 22202-5126. The current status is inactive.

Basic Information

Licensee Name CARLOS M CRUZ CHU
Credential ID 704512
Credential Number 2.010060-PROV
Credential Type Provisional Faculty Dentist
Credential SubCategory PROV
Business Address 1600 S Joyce St Apt 1222
Arlington
VA 22202-5126
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-01
Effective Date 2010-08-01
Expiration Date 2011-05-26
Refresh Date 2011-06-15

Office Location

Street Address 1600 S JOYCE ST APT 1222
City ARLINGTON
State VA
Zip Code 22202-5126

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Competitor

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City ARLINGTON
Zip Code 22202
License Type Provisional Faculty Dentist
License Type + County Provisional Faculty Dentist + ARLINGTON

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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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