BYRON KENNEDY (Credential# 1272344) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
BYRON KENNEDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054178. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152. The current status is active.
| Licensee Name | BYRON KENNEDY |
| Credential ID | 1272344 |
| Credential Number | 1.054178 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 Wolcott Hill Rd Wethersfield CT 06109-1152 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-29 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1288010 | CSP.0060408 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 380098 | CSP.0035866 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-27 | 2004-08-27 - 2005-02-28 | INACTIVE |
| Street Address | 24 WOLCOTT HILL RD |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-1152 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony C Warrick | 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152 | Notary Public Appointment | 2020-02-05 ~ 2025-02-28 |
| Debra A Dittmar | 24 Wolcott Hill Rd, Wethersfield, CT 06109 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Jazmin C Molina | 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152 | Licensed Alcohol and Drug Counselor | 2020-02-01 ~ 2021-01-31 |
| Connecticut Department of Correction | 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Amy J Houde | 24 Wolcott Hill Rd, Wethersfield, CT 06109-1152 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William F. Mulroy | 40 Byron Rd, Weston, MA 02493-2229 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Richard L Price Md | 21 Byron Pl, New Haven, CT 06515 | Physician/surgeon | 2002-02-14 ~ 2003-03-31 |
| Dix P Poppas | 17 Byron Lane, Larchmont, NY 10538 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Jeffrey R Van Inwegen | 75 Byron Drive, Avon, CT 06001 | Physician/surgeon | ~ 1996-03-31 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| Ned Howard Md | 333 Kennedy Dr, Torrington, CT 06790 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christian H Dee Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Marina Davitiani | 1 Kennedy Ave, Apt 1219, Danbury, CT 06810 | Physician/surgeon | ~ |
| William F Kennedy | 789 Howard Ave, New Haven, CT 06514 | Physician/surgeon | 1963-10-03 ~ 1977-06-30 |
| Ashita Talsania | 200 Kennedy Dr, Torrington, CT 06790-3096 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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| 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).