KIRK N CAMPBELL MD (Credential# 342830) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
KIRK N CAMPBELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033640. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 111 Park St#16a, New Haven, CT 06511. The current status is inactive.
| Licensee Name | KIRK N CAMPBELL MD |
| Credential ID | 342830 |
| Credential Number | CSP.0033640 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 Park St#16a New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558910 | 1.041327 | Physician/Surgeon | 2003-04-07 | 2003-11-26 - 2004-12-31 | INACTIVE |
| Street Address | 111 PARK ST#16A |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kirk J Macnaught Md | 29 Meadowbrook Rd, Auburn, MA 01501 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Michael D Kirk | 11 Prospect St, Essex, CT 06426-1010 | Controlled Substance Registration for Practitioner | 2017-03-13 ~ 2019-02-28 |
| Claude E Forkner Jr | 20 Kirk Rd, W Cornwall, CT 06796 | Controlled Substance Registration for Practitioner | 1993-08-17 ~ 1995-09-01 |
| Jenna M Kirk | 714 N Whitted St, Hendersonville, NC 28791-3354 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kirk F Engel | 314 Flanders Rd, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellyn S Kirk Vmd | 57 Sturgeon River Rd, Glastonbury, CT 06033-2747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirk D Blais | 1659 Williams St, Denver, CO 80218-1706 | Controlled Substance Registration for Practitioner | 2013-06-10 ~ 2015-02-28 |
| Pamela J Kirk | 136 Salmon Brook St, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James E Kirk | 263 Farmington Ave, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
Please comment or provide details below to improve the information on KIRK N CAMPBELL 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).