RONALD R BERUBE
Dental Anesthesia/conscious Sedation Permit


Address: 206 Malcolm Road, West Haven, CT 06516

RONALD R BERUBE (Credential# 741692) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is January 1, 1981. The license expiration date date is January 31, 1994. The license status is INACTIVE.

Business Overview

RONALD R BERUBE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.007773. The credential type is dental anesthesia/conscious sedation permit. The effective date is January 1, 1981. The expiration date is January 31, 1994. The business address is 206 Malcolm Road, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name RONALD R BERUBE
Credential ID 741692
Credential Number 22.007773
Credential Type Dental Anesthesia/Conscious Sedation Permit
Business Address 206 Malcolm Road
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-01-04
Effective Date 1981-01-01
Expiration Date 1994-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
702248 2.007773 Dentist 1992-03-03 1992-09-24 - 1993-09-30 INACTIVE

Office Location

Street Address 206 MALCOLM ROAD
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type Dental Anesthesia/Conscious Sedation Permit
License Type + County Dental Anesthesia/Conscious Sedation Permit + WEST HAVEN

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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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