DENNIS J KOBYLARZ MD (Credential# 341798) 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.
DENNIS J KOBYLARZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033624. 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 10 Granite Ave., Canaan, CT 06018-0970. The current status is active.
| Licensee Name | DENNIS J KOBYLARZ MD |
| Credential ID | 341798 |
| Credential Number | CSP.0033624 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10 Granite Ave. Canaan CT 06018-0970 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-06-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546751 | 1.027736 | Physician/Surgeon | 1986-10-16 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 156756 | CSP.0014702 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 10 GRANITE AVE. |
| City | CANAAN |
| State | CT |
| Zip Code | 06018-0970 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra Myers | 90 Orchard Street, Canaan, CT 06018 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Great Falls Brewing Company | 1 Railroad St, North Canaan, CT 06018 | Manufacturer for Beer and Brew Pub | 2019-12-11 ~ 2021-04-10 |
| Lindell Fuels Inc | 59 Church St, Canaan, CT 06018 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Segalla Sand & Gravel Inc | 112 Allyndale Rd, North Canaan, CT 06018 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| David W Taylor | 81 Granite Ave, North Canaan, CT 06018 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Tabitha E Brewer | 4 Highland Lane, Canaan, CT 06018 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Debra M Modecai | 304 W Main St, Canaan, CT 06018 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Lynnea M Mclane | 176 Clayton Rd, North Canaan, CT 06018 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert L Giumarro II | 22 Bragg St, Canaan, CT 06018 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amelia Elyse Packard | 37 College Hill Rd, Canaan, CT 06018 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06018 | |||
| City | CANAAN |
| Zip Code | 06018 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert C Geer Memorial Hosp Medical Director Dennis Kobylarz Md | 99 S Canaan Rd, Canaan, CT 06018-2502 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dennis Morgan | Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dennis Ng | 18 Chelsea Dr, Danbury, CT 06811-4464 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis Johnson Dds | 124 Atwater Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1993-11-03 ~ 1995-12-01 |
| Dennis N Vinias | 46 Teal Ln, Groton, CT 06340-2620 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dennis L Caffrey | 101 Sycamore Dr, Prospect, CT 06712-1490 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis K Pezzolesi Jr | 39 Webster Sq, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Dennis S O'brien Pa | 544 Whitney Ave Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Dennis Claire Dpm | 341 Montauk Ave, New London, CT 06320-4735 | Controlled Substance Registration for Practitioner | 2011-07-25 ~ 2013-02-28 |
| Lori E Dennis | 125 W Main St, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).