PATRICK T KEHL (Credential# 1435465) 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 INACTIVE.
PATRICK T KEHL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066153. 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 110 Great Hill Pond Rd, Portland, CT 06480-1315. The current status is inactive.
Licensee Name | PATRICK T KEHL |
Credential ID | 1435465 |
Credential Number | CSP.0066153 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
110 Great Hill Pond Rd Portland CT 06480-1315 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2017-07-06 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1423421 | 1.056639 | Physician/Surgeon | 2017-07-05 | 2018-10-01 - 2019-09-30 | INACTIVE |
1178116 | CSP.0055837 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-06 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 110 GREAT HILL POND RD |
City | PORTLAND |
State | CT |
Zip Code | 06480-1315 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aaron J Bujdos | 110 Great Hill Pond Rd, Portland, CT 06480-1315 | Physical Therapist | 2011-08-01 ~ 2012-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hillary H Lewis | 42 Great Hill Pond Rd, Portland, CT 06480-1315 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Jay J Bordonaro | 60 Great Hill Pond Rd, Portland, CT 06480-1315 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Ronald J Klemba | 170 Great Hill Pond Rd, Portland, CT 06480-1315 | Marital and Family Therapist | 2019-11-01 ~ 2020-10-31 |
Janet S Beer | 170 Great Hill Pond Rd, Portland, CT 06480-1315 | Massage Therapist | 2013-10-01 ~ 2015-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
Kevin R Johnson | 20 Mountain Laurel Way, Portland, CT 06480 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Aaron A Adams | 138 High Street, Portland, CT 06480 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Amanda R. Weinberger | 270 Main St. Suite A, Portland, CT 06480 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Karen L Cianci | 3 Myrtle Rd, Portland, CT 06480 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Joseph Bials | P.o. Box 546, Portland, CT 06480 | Sub-surface Sewage Installer | 2020-05-01 ~ 2021-04-30 |
Olivia Jane Briggs | 6 Allen Street, Portland, CT 06480 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Donna M Dubay | 8 Penny Corner Road, Portland, CT 06480 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06480 |
City | PORTLAND |
Zip Code | 06480 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick Koo | 22 Church Ter, Newington, CT 06111-5550 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Patrick K Fox | 168 Fairview Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Patrick Brew | Po Box 266, Bridgewater, CT 06752-0266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrick Ryan | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrick A Kenney | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrick H Mckenna | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Patrick W Stroh | 23 Maple St, Trumbull, CT 06611-3516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrick J Benton | 58 Knollwood Ln, Darien, CT 06820-2813 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Patrick J Troy Md | 85 Seymour St Ste 923, Hartford, CT 06106-5529 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).