KENNETH D MILLER
Physician/surgeon


Address: 66 E India Row, Boston, MA 02110-3306

KENNETH D MILLER (Credential# 545881) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

KENNETH D MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026208. The credential type is physician/surgeon. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 66 E India Row, Boston, MA 02110-3306. The current status is inactive.

Basic Information

Licensee Name KENNETH D MILLER
Credential ID 545881
Credential Number 1.026208
Credential Type Physician/Surgeon
Business Address 66 E India Row
Boston
MA 02110-3306
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-03-11
Effective Date 2010-03-01
Expiration Date 2011-02-28
Refresh Date 2011-06-01

Office Location

Street Address 66 E INDIA ROW
City BOSTON
State MA
Zip Code 02110-3306

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City BOSTON
Zip Code 02110
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOSTON

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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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