KENNETH P ANDERSON JR
Physician/surgeon


Address: 11034 Birch Lake, Granger, IN 46530

KENNETH P ANDERSON JR (Credential# 537958) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2001. The license expiration date date is June 30, 2002. The license status is INACTIVE.

Business Overview

KENNETH P ANDERSON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000176-DO. The credential type is physician/surgeon. The effective date is June 11, 2001. The expiration date is June 30, 2002. The business address is 11034 Birch Lake, Granger, IN 46530. The current status is inactive.

Basic Information

Licensee Name KENNETH P ANDERSON JR
Credential ID 537958
Credential Number 1.000176-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 11034 Birch Lake
Granger
IN 46530
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-12-28
Effective Date 2001-06-11
Expiration Date 2002-06-30
Refresh Date 2009-07-08

Office Location

Street Address 11034 BIRCH LAKE
City GRANGER
State IN
Zip Code 46530

Licenses in the same zip code

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Teresa Marie Kucharski 14426 Farmgate Drive, Granger, IN 46530 Registered Nurse ~
Franch Mabelle S Serna 51953 Trenton Woods Dr, Granger, IN 46530 Physical Therapist 2019-10-01 ~ 2020-09-30
Kenneth R Weston 16576 Bandon Lane, Granger, IN 46530 Electrical Unlimited Journeyperson 2019-10-01 ~ 2020-09-30
Michael Baker IIi 51573 Hendon Hall Ct, Granger, IN 46530 Professional Engineer 1987-03-12 ~ 1988-01-31
Daniel L. Phillips 15715 Cedar Cove Drive, Granger, IN 46530 Certified Public Accountant License 2004-01-01 ~ 2004-12-31
Marlene D Ford Aprn 6030 Mission Trail Apt 2, Granger, IN 46530 Advanced Practice Registered Nurse 2006-03-20 ~ 2007-05-31
John W Klawitter 50778 Elk Trail, Granger, IN 46530 Physical Therapist 1995-07-21 ~ 1996-07-31
Joan M Gruner 50689 Woodbury Way, Granger, IN 46530 Registered Nurse 1994-10-11 ~ 1995-11-30
Edwin Hill 16287 Barryknoll Way, Granger, IN 46530 Nursing Home Administrator 2002-06-06 ~ 2003-06-30
Ann T Mccoy 51800 Waterford Green Drt, Granger, IN 46530 Dental Hygienist 2006-03-29 ~ 2006-12-31
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Competitor

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City GRANGER
Zip Code 46530
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GRANGER

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Dataset Information

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).

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