NICOLE A KENNEDY
Controlled Substance Registration for Practitioner


Address: 739 Carrington Rd, Bethany, CT 06524-3183

NICOLE A KENNEDY (Credential# 1187307) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

NICOLE A KENNEDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056211. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 739 Carrington Rd, Bethany, CT 06524-3183. The current status is active.

Basic Information

Licensee Name NICOLE A KENNEDY
Credential ID 1187307
Credential Number CSP.0056211
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 739 Carrington Rd
Bethany
CT 06524-3183
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-10-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1179136 47.003893 Veterinarian 2013-08-16 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 739 CARRINGTON RD
City BETHANY
State CT
Zip Code 06524-3183

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Rosemary K Defilippo 739 Carrington Rd, Bethany, CT 06524 Real Estate Salesperson 2014-06-01 ~ 2015-05-31

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Patricia Burke 12 Miller Rd, Bethany, CT 06524 Veterinarian 2020-09-01 ~ 2021-08-31
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Brian K Coutermarsh 32 Emerald Lane, Bethany, CT 06524 Radiographer 2020-09-01 ~ 2021-08-31
Michelle L Amato 172 Russell Rd, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Joseph L Colaci 57 Edwards Road, Bethany, CT 06524 Nursing Home Administrator 2020-05-01 ~ 2022-04-30
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Competitor

Search similar business entities

City BETHANY
Zip Code 06524
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHANY

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John J Kennedy 361 South St, Suffield, CT 06078 Controlled Substance Registration for Practitioner 1994-11-18 ~ 1996-12-01
Kennedy K Eneh Md 54 Hawthorne Way, Milroy, PA 17063-8254 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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