STEPHEN D. MUENCH DDS
Controlled Substance Registration for Practitioner


Address: 1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407

STEPHEN D. MUENCH DDS (Credential# 944803) 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

STEPHEN D. MUENCH DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048180. 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 1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407. The current status is inactive.

Basic Information

Licensee Name STEPHEN D. MUENCH DDS
Credential ID 944803
Credential Number CSP.0048180
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-08-06
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
935915 2.010280 Dentist 2010-06-24 2011-07-01 - 2012-06-30 INACTIVE

Office Location

Street Address 1090 NORTHCHASE PKWY SE STE 150
City MARIETTA
State GA
Zip Code 30067-6407

Licenses in the same location

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David M Vieth Dds 1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407 Dentist 2020-07-01 ~ 2021-06-30
Paul O Walker 1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407 Dentist 2017-07-01 ~ 2018-06-30
Priya B Grewal 1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407 Dentist 2013-06-18 ~ 2014-04-30

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City MARIETTA
Zip Code 30067
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARIETTA

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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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