KENNETH T JOHNSON
Physician/surgeon


Address: 51 Berkshire Dr, Farmington, CT 06032

KENNETH T JOHNSON (Credential# 542613) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

KENNETH T JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017981. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 51 Berkshire Dr, Farmington, CT 06032. The current status is active.

Basic Information

Licensee Name KENNETH T JOHNSON
Credential ID 542613
Credential Number 1.017981
Credential Type Physician/Surgeon
Business Address 51 Berkshire Dr
Farmington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1976-06-16
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
164382 CSP.0023243 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 51 BERKSHIRE DR
City FARMINGTON
State CT
Zip Code 06032

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

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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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