THOMAS L KENNEDY III
Controlled Substance Registration for Practitioner


Address: 2615 Bronson Road, Fairfield, CT 06430

THOMAS L KENNEDY III (Credential# 145151) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

THOMAS L KENNEDY III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008819. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 2615 Bronson Road, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name THOMAS L KENNEDY III
Credential ID 145151
Credential Number CSP.0008819
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2615 Bronson Road
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
543673 1.021450 Physician/Surgeon 1979-06-20 2009-02-02 - 2010-03-31 INACTIVE

Office Location

Street Address 2615 BRONSON ROAD
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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