KEVIN A HICKMAN (Credential# 1306017) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
KEVIN A HICKMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061326. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 172 Arch Rd, Avon, CT 06001-4203. The current status is lapsed.
| Licensee Name | KEVIN A HICKMAN |
| Credential ID | 1306017 |
| Credential Number | CSP.0061326 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
172 Arch Rd Avon CT 06001-4203 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-08-20 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1300859 | 23.003410 | Physician Assistant | 2015-08-14 | 2016-12-01 - 2017-11-30 | INACTIVE |
| Street Address | 172 ARCH RD |
| City | AVON |
| State | CT |
| Zip Code | 06001-4203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen Zeller | 172 Arch Rd, Avon, CT 06001 | Home Improvement Salesperson | 2000-05-26 ~ 2000-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avon Painting LLC | 182 Arch Rd, Avon, CT 06001-4203 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| James E Dekle | 152 Arch Rd, Avon, CT 06001-4203 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin N Sheth Md | 15 York St, New Haven, CT 06510-3221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Ching Md | 377 E 33rd St Apt 16b, New York, NY 10016-9481 | Controlled Substance Registration for Practitioner | 2009-04-02 ~ 2011-02-28 |
| Kevin R Wray Dvm | 35 Crescent St, Meriden, CT 06450-5770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Robertson Pa | 118 Osborne St #1c, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2004-02-27 ~ 2005-02-28 |
| Kevin Sterling Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Kevin Murano | 10 Fernwood Rd, Westport, CT 06880-3707 | Controlled Substance Registration for Practitioner | 2019-04-11 ~ 2021-02-28 |
| Kevin P Langan Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin D Lye | 1414-f1 Whitney Ave, Hamden, CT 06517-2444 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
Please comment or provide details below to improve the information on KEVIN A HICKMAN.
| 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).