KENNETH A LORENZ
Physician/surgeon


Address: Suite 110, Southport, CT 06490

KENNETH A LORENZ (Credential# 550110) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 28, 1997. The license expiration date date is November 30, 1998. The license status is INACTIVE.

Business Overview

KENNETH A LORENZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032504. The credential type is physician/surgeon. The effective date is October 28, 1997. The expiration date is November 30, 1998. The business address is Suite 110, Southport, CT 06490. The current status is inactive.

Basic Information

Licensee Name KENNETH A LORENZ
Credential ID 550110
Credential Number 1.032504
Credential Type Physician/Surgeon
Business Address Suite 110
Southport
CT 06490
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-08-07
Effective Date 1997-10-28
Expiration Date 1998-11-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
160458 CSP.0020432 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address SUITE 110
City SOUTHPORT
State CT
Zip Code 06490

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City SOUTHPORT
Zip Code 06490
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SOUTHPORT

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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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