KEVIN M DUIGNAN (Credential# 2046725) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
KEVIN M DUIGNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065689-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 64 Crystal Ln Apt D, Storrs Mansfield, CT 06268-1172. The current status is active.
| Licensee Name | KEVIN M DUIGNAN |
| Credential ID | 2046725 |
| Credential Number | 1.065689-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
64 Crystal Ln Apt D Storrs Mansfield CT 06268-1172 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2033788 | CSP.0073515 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-14 | 2020-06-14 - 2021-02-28 | ACTIVE |
| 1075618 | 70.015138 | Emergency Medical Technician | 2012-06-13 | 2015-03-18 - 2018-03-31 | INACTIVE |
| Street Address | 64 CRYSTAL LN APT D |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-1172 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isabella R Tardy | 64 Crystal Ln Apt B, Storrs Mansfield, CT 06268-1172 | Pharmacy Intern | 2019-09-12 ~ 2023-09-30 |
| Edward Wahn Lee | 64 Crystal Ln Apt B, Storrs, CT 06268-1172 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Clark | 44 Republic Dr, Bloomfield, CT 06002-5458 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Kevin M Wheelock | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kevin T Pelland Jr. | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Kevin J Barnum | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin Yiming Yan | 240 Congress Ave Apt 316, New Haven, CT 06519-1403 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kevin A Kasner | 234 Kingswood Dr, Avon, CT 06001-3182 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
| Kevin J Reid | 276 Towpath Ln, Cheshire, CT 06410-3314 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Kevin R. Coleman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2020-06-30 |
| Kevin Wilson | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin P Baratta | 345 Buckland Hills Dr Apt 18121, Manchester, CT 06042-8727 | Resident Physician | 2017-06-20 ~ 2020-06-26 |
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| 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).