JEFFREY M KAGAN (Credential# 548802) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JEFFREY M KAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030937. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 365 Willard Avenue, Newington, CT 06111-2316. The current status is active.
| Licensee Name | JEFFREY M KAGAN |
| Credential ID | 548802 |
| Credential Number | 1.030937 |
| Credential Type | Physician/Surgeon |
| Business Address |
365 Willard Avenue Newington CT 06111-2316 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-07-13 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 933153 | CSP.0047697 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 159667 | CSP.0018316 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 336956 | CSP.0033328 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-07 - 2009-02-28 | INACTIVE | |
| 163326 | CSP.0021156 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-01-19 - 1996-12-01 | INACTIVE |
| Street Address | 365 Willard Avenue |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2316 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theodore J Adamidis Dmd | 365 Willard Avenue, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacie L Zibel | 365 Willard Avenue, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurie M Betts | 365 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 1996-04-09 ~ 1997-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward B Cos | 365 Willard Ave Ste 2h, Newington, CT 06111-2316 | Dentist | 2019-11-01 ~ 2020-10-31 |
| A Walk-in Medical Center | 365 Willard Ave Ste 2e, Newington, CT 06111-2316 | Outpatient Clinic | 2015-04-01 ~ 2019-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kagan Construction LLC | 157 Cow Hill Rd, Clinton, CT 06413 | Home Improvement Contractor | 1997-10-07 ~ 1998-11-30 |
| Kagan Company · The Kagan Company | 370 James St Ste 401, New Haven, CT 06513 | Architecture Corporation | 2010-08-01 ~ 2011-07-31 |
| Kagan Chardonnay | Connecticut Brand Registration, CT 06106 | Liquor Brand Label | 2014-08-27 ~ 2017-08-26 |
| Kagan Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-08-27 ~ 2017-08-26 |
| Kagan Pinot Noir | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-08-27 ~ 2017-08-26 |
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on JEFFREY M KAGAN.
| 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).