KENNETH V MALM (Credential# 162164) 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 ACTIVE.
KENNETH V MALM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021704. 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 Bolton Vet Hospital, Bolton, CT 06043. The current status is active.
| Licensee Name | KENNETH V MALM |
| Credential ID | 162164 |
| Credential Number | CSP.0021704 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Bolton Vet Hospital Bolton CT 06043 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 771545 | 47.001524 | Veterinarian | 1983-07-15 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | BOLTON VET HOSPITAL |
| City | BOLTON |
| State | CT |
| Zip Code | 06043 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret Mostoller Dvm | Bolton Vet Hospital, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 1993-12-07 ~ 1996-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Munsons Chocolates | 174 Hop River Rd, Bolton, CT 06043 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Darlene L Kearns | 4 Sunset Lane, Bolton, CT 06043 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Michael C Goncalves | 14 Hebron Road, Bolton, CT 06043 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Teresa R Lloyd | 25 Green Hills Road, Bolton, CT 06043 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Marissa A Stefano | 95 Cidermill Road, Bolton, CT 06043 | Real Estate Salesperson | ~ |
| Marjorie R Roccoberton | 82 Shoddy Mill Rd., Bolton, CT 06043 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Jacqueline S Lancaster | 96 Volpi Road, Bolton, CT 06043 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Melissa S Mcdaniel | 219 Bolton Center Rd, Bolton, CT 06043 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Thomas A Manning | 18 School Rd, Bolton, CT 06043 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sharon D Witham | 12 Westridge Drive, Bolton, CT 06043 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06043 | |||
| City | BOLTON |
| Zip Code | 06043 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOLTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl Malm | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian J Malm Md | 105 Tom Swamp Rd, Hamden, CT 06518-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth O. Bonaparte | Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth Powers Md | 50 Orchard Ave, Rye, NY 10580-2806 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth J Eagan Dds | 146 Elm St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth M Gheen Md | 809 Noe Rd, Larkspur, CO 80118 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kenneth R Morgan | 101 Waterville Rd, Southport, CT 06490 | Controlled Substance Registration for Practitioner | 1993-12-15 ~ 1996-01-01 |
| Kenneth J Lippman Md | 18 Sylvan Rd S, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth W Gerard | 8 Aquamarine Dr, Key West, FL 33040-5601 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kenneth R Newton | 305 Church St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KENNETH V MALM.
| 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).