ERIC DOSTAL OD
Optometrist


Address: 624 Ryan Rd, Florence, MA 01060

ERIC DOSTAL OD (Credential# 763102) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is May 21, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

ERIC DOSTAL OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002474. The credential type is optometrist. The effective date is May 21, 2007. The expiration date is February 29, 2008. The business address is 624 Ryan Rd, Florence, MA 01060. The current status is inactive.

Basic Information

Licensee Name ERIC DOSTAL OD
Credential ID 763102
Credential Number 3.002474
Credential Type Optometrist
Business Address 624 Ryan Rd
Florence
MA 01060
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-09-26
Effective Date 2007-05-21
Expiration Date 2008-02-29
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
191818 CSP.0026350 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-12-11 - 1998-02-28 INACTIVE

Office Location

Street Address 624 RYAN RD
City FLORENCE
State MA
Zip Code 01060

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Competitor

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City FLORENCE
Zip Code 01060
License Type Optometrist
License Type + County Optometrist + FLORENCE

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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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