KEVIN B GREEN
Physician/surgeon


Address: 10 Bobwhite Ln, East Lyme, CT 06333-1300

KEVIN B GREEN (Credential# 945053) 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.

Business Overview

KEVIN B GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049143. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 10 Bobwhite Ln, East Lyme, CT 06333-1300. The current status is active.

Basic Information

Licensee Name KEVIN B GREEN
Credential ID 945053
Credential Number 1.049143
Credential Type Physician/Surgeon
Business Address 10 Bobwhite Ln
East Lyme
CT 06333-1300
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-08-25
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-28

Office Location

Street Address 10 BOBWHITE LN
City EAST LYME
State CT
Zip Code 06333-1300

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Bruce I Dixon 10 Bobwhite Ln, East Lyme, CT 06333-1300 Home Improvement Salesperson 2011-05-24 ~ 2011-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brittany Pearson 6201 Maple Tree Lane, East Lyme, CT 06333 Behavior Analyst ~
Aura M Serdici 7 Ferro Dr, East Lyme, CT 06333 Esthetician ~
Lawrence J Darling Jr · Darling Carpentry 61 Mostowy Rd, East Lyme, CT 06333 Home Improvement Contractor 2020-06-19 ~ 2020-11-30
Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Peter J Famiglietti Md 339 Flanders Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Beth A Stoddard 8 Greentree Drive, East Lyme, CT 06333 Registered Nurse 2020-07-01 ~ 2021-06-30
Scott's Yankee Farmer 291 N Bride Brook Rd, East Lyme, CT 06333 Apple Juice & Cider Manufacturer 2020-07-01 ~ 2021-06-30
Katherine E Whalen 339 Flanders Rd Ste 109, East Lyme, CT 06333 Physician/surgeon 2020-08-01 ~ 2021-07-31
May L Diep 88 Arbor Crossing, East Lyme, CT 06333 Nail Technician ~
Cash True Value 300 Flanders Rd, East Lyme, CT 06333 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06333

Competitor

Search similar business entities

City EAST LYME
Zip Code 06333
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST LYME

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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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