KENNETH S SPECTOR (Credential# 558518) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KENNETH S SPECTOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040935. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 130 Division St, Derby, CT 06418. The current status is active.
| Licensee Name | KENNETH S SPECTOR |
| Credential ID | 558518 |
| Credential Number | 1.040935 |
| Credential Type | Physician/Surgeon |
| Business Address |
130 Division St Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-11-05 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 337178 | CSP.0033333 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 325482 | CSP.0033034 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ricardo Concepcion Gomez | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Anwesh Poosala | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Da Young Ryu | 130 Division St, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Genevieve C Kela | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Inshiya Dawoodi | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sovit Dahal | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Rosa Constantino | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Ivanshi Gondalia | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Angad Gill | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Douglas Palacios | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
| Jessie I Spector | 185 Hubbard St., Lenox, MA 01240 | Physician/surgeon | 1986-01-21 ~ 1988-09-30 |
| Scott M Spector | 761 Main Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| William B Spector Md | 100 Hazard Ave Ste 101, Enfield, CT 06082-5447 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Steven G Spector Md | 790 South Main Street, Plantsville, CT 06479-1221 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Marcelo Spector Md | 1301 Princeton Street, Santa Monica, CA 90404 | Physician/surgeon | 2009-01-12 ~ 2010-02-28 |
| Robert T Spector Md | 275 S Bryn Mawr Ave Apt F3, Bryn Mawr, PA 19010-4220 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| John Spector · John Spector Landscape Design | 124 Quassuk Rd, Woodbury, CT 06798 | Home Improvement Contractor | 2004-09-03 ~ 2005-11-30 |
| Dennis Spector | 26 Wagon Wheel Road, Redding, CT 06896 | Certified Public Accountant Firm Permit | 1997-01-01 ~ 1997-12-31 |
| Spector Eye Care | 761 Main Ave Ste 107, Norwalk, CT 06851-1080 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
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| 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).