IRA N SLOW DMD (Credential# 741593) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
IRA N SLOW DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.004071. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1825 Barnum Ave, Stratford, CT 06614-5333. The current status is active.
| Licensee Name | IRA N SLOW DMD |
| Credential ID | 741593 |
| Credential Number | 22.004071 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
1825 Barnum Ave Stratford CT 06614-5333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148550 | CSP.0000540 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 700230 | 2.004071 | Dentist | 1967-12-04 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 1825 BARNUM AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-5333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Barry H Habib | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Gerald Wasserman Dpm | 1825 Barnum Ave, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Henry Kogut Md | 1825 Barnum Ave, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Domanick | 1825 Barnum Ave Ste 302, Stratford, CT 06614-5333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Richard J Downing | 205 Post Oak Road, Stratford, CT 06614 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Stephen S Rozen | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2015-05-01 ~ 2016-04-30 |
| Christopher J Cuomo | 16 Cannon Dr, Newtown, CT 06470-1751 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Abra J Dilisio | 103 The Waterway, Manhasset, NY 11030-1331 | Dental Anesthesia/conscious Sedation Permit | 2020-07-01 ~ 2021-06-30 |
| Karen S. Ablow | 145 Durham Rd Ste 2, Madison, CT 06443-2656 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Marshall D Kurtz | 129 Park Ave, Danbury, CT 06810-7504 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Scott T Claiborne | 140 Huyshope Ave Apt 623, Hartford, CT 06106-2870 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| George A Murphy IIi | 110 Hopmeadow St, Weatogue, CT 06089-9407 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Garrick Alex | 23 Maple Ave, Greenwich, CT 06830-5620 | Dental Anesthesia/conscious Sedation Permit | 2020-05-20 ~ 2021-05-31 |
Please comment or provide details below to improve the information on IRA N SLOW DMD.
| 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).