NICOLE MAKHOUL DDS
Controlled Substance Registration for Practitioner


Address: 935 Pembroke Woods Dr, Pembroke, MA 02359-4966

NICOLE MAKHOUL DDS (Credential# 922733) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

NICOLE MAKHOUL DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047455. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 935 Pembroke Woods Dr, Pembroke, MA 02359-4966. The current status is inactive.

Basic Information

Licensee Name NICOLE MAKHOUL DDS
Credential ID 922733
Credential Number CSP.0047455
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 935 Pembroke Woods Dr
Pembroke
MA 02359-4966
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-04-07
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
909911 2.010212 Dentist 2010-03-09 2012-02-01 - 2013-01-31 INACTIVE

Office Location

Street Address 935 PEMBROKE WOODS DR
City PEMBROKE
State MA
Zip Code 02359-4966

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Competitor

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City PEMBROKE
Zip Code 02359
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PEMBROKE

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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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