KEVIN SEAN ELLIOTT (Credential# 1636643) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KEVIN SEAN ELLIOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063642. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 100 Retreat Ave, Hartford, CT 06106-2528. The current status is active.
| Licensee Name | KEVIN SEAN ELLIOTT |
| Credential ID | 1636643 |
| Credential Number | 1.063642 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Retreat Ave Hartford CT 06106-2528 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667724 | CSP.0071490 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-11 | 2019-06-11 - 2021-02-28 | ACTIVE |
| Street Address | 100 RETREAT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2528 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lara Addesso | 100 Retreat Ave, Hartford, CT 06106 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Kseniya Khmara | 100 Retreat Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Evan J Burke | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Jonathan H Tress | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Kvam | 100 Retreat Ave, Hartford, CT 06106-2565 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael T Lawlor | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justine F. Miranda | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily J Rosenbush Md | 100 Retreat Ave, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sidra Azim | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maritza Montanez | 100 Retreat Ave, Hartford, CT 06016 | Physician/surgeon | 2020-04-02 ~ 2020-07-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New England Orthotic and Prosthetic Systems LLC | 100 Retreat Ave Ste 805, Hartford, CT 06106-2528 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Carla L Maffeo-mitchell | 100 Retreat Ave Ste 900, Hartford, CT 06106-2528 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Catherine C Graziani | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Community A Walgreens Pharmacy #21185 | 100 Retreat Ave Ste 105, Hartford, CT 06106-2528 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Emily O Wakefield | 100 Retreat Ave Ste 515, Hartford, CT 06106-2528 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Nathan C Swallow | 100 Retreat Ave Ste 403, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Hartford Surgery Center LLC · R Keith Miller Md | 100 Retreat Ave Ste 100, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ripudeep Rai Md | 100 Retreat Ave Ste 605, Hartford, CT 06106-2528 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Steven M Borer Do | 100 Retreat Ave Ste 811, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Ferraro-borgida Md | 100 Retreat Ave Ste 811, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06106-2528 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin-sean A Mcgann | 13737 Noel Rd Ste 1600, Dallas, TX 75240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
| Kevin Elliott | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-06-28 ~ 2018-06-30 |
| Tania Elliott | 26 Island Way, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elliott R Mayo | 74 Beach St, Litchfield, CT 06759 | Physician/surgeon | 1996-10-07 ~ 1997-12-31 |
| Jehan Elliott | 34 Deer Run Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frank G Elliott Jr | 1005 Prospect Dr, Stratford, CT 06497 | Physician/surgeon | 1996-07-12 ~ 1997-08-31 |
| Emily Cordelia Elliott | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | ~ |
| James Elliott Brown | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Elliott I Fankuchen | 47 Channel Rd, Newport Beach, CA 92663-4423 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on KEVIN SEAN ELLIOTT.
| 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).