KENNETH A BAGWELL (Credential# 1076013) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
KENNETH A BAGWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052565. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 129 York St Apt 2b, New Haven, CT 06511-5604. The current status is lapsed.
| Licensee Name | KENNETH A BAGWELL |
| Credential ID | 1076013 |
| Credential Number | CSP.0052565 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
129 York St Apt 2b New Haven CT 06511-5604 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2012-07-02 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| Street Address | 129 YORK ST APT 2B |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua Pulinat | 129 York St Apt 2g, New Haven, CT 06511-5604 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Achal Shah | 129 York St Apt 2j, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivek Kesar | 129 York St Apt 1 - O, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nirupama Gupta | 129 York St Apt 3c, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lindsay L Stringer | 129 York St Apt 2n, New Haven, CT 06511-5604 | Registered Nurse | 2011-04-01 ~ 2012-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth M Gheen Md | 809 Noe Rd, Larkspur, CO 80118 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kenneth O. Bonaparte | Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth Powers Md | 50 Orchard Ave, Rye, NY 10580-2806 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth J Eagan Dds | 146 Elm St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth R Newton | 305 Church St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth L Blazier Md | 262 Goshen Rd, Litchfield, CT 06759-2402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth Wachs Dds | 36 Padanaram Rd, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth R Lisi | 51 Old Dairy Rd, Trumbull, CT 06611-4966 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth P Sunshine Dds | 5 Exeter Ct, Mystic, CT 06355-3112 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth Elligers Md | 11 Scarlet Ln, Windsor, CT 06095-4769 | Controlled Substance Registration for Practitioner | 2019-08-20 ~ 2021-02-28 |
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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).