DAVID BRIAN KENNEDY (Credential# 1512973) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID BRIAN KENNEDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004129. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 39 Harvest Lane, Colchester, CT 06415. The current status is active.
| Licensee Name | DAVID BRIAN KENNEDY |
| Credential ID | 1512973 |
| Credential Number | 23.004129 |
| Credential Type | Physician Assistant |
| Business Address |
39 Harvest Lane Colchester CT 06415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1587652 | CSP.0069229 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 39 Harvest Lane |
| City | Colchester |
| State | CT |
| Zip Code | 06415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Johnson | 39 Harvest Lane, Colchester, CT 06415 | Emergency Medical Technician | ~ 1997-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | Colchester |
| Zip Code | 06415 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Colchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian J Kennedy · Brian Kennedy Home Improvement | 35 Fuller Acres #7, Hampton, NH 03842 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Kayla Nicole Kennedy | 27 Hunters Lane, Plantsville, CT 06479 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Leah M Barmasse | 26042 Kennedy Ridge Road, North Olmsted, OH 44070 | Physician Assistant | 2003-03-10 ~ 2004-04-30 |
| Brian D O'donnell | Po Box 426, Marshfield Hills, MA 02051-0426 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Brian T Maurer Pa | 19 Maple St, Tariffville, CT 06081-9636 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian Beltrani | 135 Pearl St Apt 3, Middletown, CT 06457-2823 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Brian C Michaels | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
| Brian A Karwaski | 68 Chatham Dr, Manchester, CT 06042-8521 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian Michael Picciano | 158 Cherry St Apt 2d, Milford, CT 06460-3446 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brian Fillmore | 45 Old Barnabas Road, Woodbridge, CT 06525 1947 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on DAVID BRIAN KENNEDY.
| 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).