CONSTANTINA BACOPOULOU DDS
Controlled Substance Registration for Practitioner


Address: 1675 York Ave, New York, NY 10128

CONSTANTINA BACOPOULOU DDS (Credential# 979142) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CONSTANTINA BACOPOULOU DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049471. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1675 York Ave, New York, NY 10128. The current status is inactive.

Basic Information

Licensee Name CONSTANTINA BACOPOULOU DDS
Credential ID 979142
Credential Number CSP.0049471
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1675 York Ave
New York
NY 10128
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-12-21
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
883685 2.010413 Dentist 2010-11-19 2012-07-01 - 2013-06-30 INACTIVE

Office Location

Street Address 1675 YORK AVE
City NEW YORK
State NY
Zip Code 10128

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Competitor

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City NEW YORK
Zip Code 10128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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