KAREN KENNEDY MD (Credential# 197089) 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.
KAREN KENNEDY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027066. 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 166 Waterbury Rd Ste 202, Prospect, CT 06712. The current status is active.
| Licensee Name | KAREN KENNEDY MD |
| Credential ID | 197089 |
| Credential Number | CSP.0027066 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
166 Waterbury Rd Ste 202 Prospect CT 06712 |
| 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 | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554610 | 1.037020 | Physician/Surgeon | 1998-07-02 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 166 WATERBURY RD STE 202 |
| City | PROSPECT |
| State | CT |
| Zip Code | 06712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | PROSPECT |
| Zip Code | 06712 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROSPECT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen A Kennedy-richard Aprn | 365 Montauk Avenue, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Tiffany Le | 1055 Kennedy Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Nelson | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Bethany J Kennedy | 36 Woodlund Ave, Westerly, RI 02891-2441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas J Manzoli Dmd | 39 Kennedy Dr Ste C, Putnam, CT 06260-1957 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Kennedy | 361 South St, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 1994-11-18 ~ 1996-12-01 |
| John T Kennedy Jr | P.o.box 275, East Haddam, CT 06423 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Neal Mandell | 220 Kennedy Dr, Torrington, CT 06790-3096 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sreenivasulu Panguluri Dds | 181 Kennedy Dr Apt 108, Malden, MA 02148-3442 | Controlled Substance Registration for Practitioner | 2011-06-23 ~ 2013-02-28 |
| Edward A Curran Md | 5 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KAREN KENNEDY MD.
| 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).