KENNETH T GUTIERREZ (Credential# 551737) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KENNETH T GUTIERREZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034138. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 34 Westwood Dr., Canton, CT 06019. The current status is active.
| Licensee Name | KENNETH T GUTIERREZ |
| Credential ID | 551737 |
| Credential Number | 1.034138 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Westwood Dr. Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-11-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162486 | CSP.0022742 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 Westwood Dr. |
| City | Canton |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | Canton |
| Zip Code | 06019 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Canton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Emmanuel Gutierrez | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christina Marie Gutierrez | 100 Woodruff Circle, Atlanta, GA 30322 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
| Kenneth B Lee | 2 Gold Street, New York, NY 10038 | Physician/surgeon | ~ |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Kenneth J Searles | 12 Nautilus Pl, New Rochelle, NY 10805-1310 | Physician/surgeon | ~ |
| Kenneth H Dangman Md | Po Box 672, Farmington, CT 06034 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kenneth R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
| Kenneth Dobuler | Branford, CT 06405 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
Please comment or provide details below to improve the information on KENNETH T GUTIERREZ.
| 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).