KEVIN J KIWAK (Credential# 546779) 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.
KEVIN J KIWAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027791. The credential type is physician/surgeon. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 3 Sears Road, Sandisfield, MA 01255. The current status is inactive.
| Licensee Name | KEVIN J KIWAK |
| Credential ID | 546779 |
| Credential Number | 1.027791 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Sears Road Sandisfield MA 01255 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-11-20 |
| Effective Date | 2010-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2011-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156114 | CSP.0015445 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 3 Sears Road |
| City | Sandisfield |
| State | MA |
| Zip Code | 01255 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi L O'brien · Lundgren | 131 Sandisfield Road, Sandisfield, MA 01255 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mark F Bagg | 51 Norfolk Rd, Sandisfield, MA 01255 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Kelly Mc Cuin · Bernoi | 2 Stansen Lane, Sandisfield, MA 01255 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Rosanne D Skrip | P.o. Box 544, Sandisfield, MA 01255 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Sharon B Reynolds | 109 North Main St, Sandisfield, MA 01255 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Lori A Wilkinson | 218 Sandisfield Rd, Sandisfield, MA 01255 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Bonnie C Harbour | 87 South Main Street, Sandisfield, MA 01255 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Tina L Demanbey | 25 South Sandisfield Road, Sandisfield, MA 01255 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Barbara A Morrison | 6 Tannery Road, Sandisfield, MA 01255 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Karlene T. Blass | P.o.box 511, Sandisfield, MA 01255 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01255 | |||
| City | Sandisfield |
| Zip Code | 01255 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Sandisfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Y Pei | Po Box 208062, New Haven, CT 06520 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Kevin W Dickey Md | Po Box 217, New Britain, CT 06050-0217 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Kevin J Tally | 16 Rip Rd, Hanover, NH 03755-1614 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin L Soe | 26 Jasmine Dr, Middletown, NY 10940-5046 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Kevin M Schuster Md | 21 Cedar Rd, Woodbridge, CT 06525-1642 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Kevin O'gara Do | Po Box 618, Pleasant Valley, CT 06063-0618 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin J Reagan Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kevin J Finkel Md | 100 Retreat Ave, # 900, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kevin Strong Md | 111 Beach Rd, Fairfield, CT 06824 | Physician/surgeon | 2008-08-20 ~ 2009-09-30 |
| Kevin D Carr Md | 81 Beachland Ave, Milford, CT 06460 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEVIN J KIWAK.
| 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).