JYOTIKA K. DHAWAN Dmd
Controlled Substance Registration for Practitioner


Address: 26 Pine Grv, Amherst, MA 01002-2717

JYOTIKA K. DHAWAN Dmd (Credential# 922900) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JYOTIKA K. DHAWAN Dmd is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047458. The credential type is controlled substance registration for practitioner. The effective date is April 9, 2013. The expiration date is February 28, 2015. The business address is 26 Pine Grv, Amherst, MA 01002-2717. The current status is inactive.

Basic Information

Licensee Name JYOTIKA K. DHAWAN Dmd
Credential ID 922900
Credential Number CSP.0047458
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Pine Grv
Amherst
MA 01002-2717
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-05-05
Effective Date 2013-04-09
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
887727 2.010102 Dentist 2009-08-10 2013-08-01 - 2014-07-31 INACTIVE

Office Location

Street Address 26 PINE GRV
City AMHERST
State MA
Zip Code 01002-2717

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Competitor

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City AMHERST
Zip Code 01002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AMHERST

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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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