KENNETH SMITH JR (Credential# 1122698) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
KENNETH SMITH JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051447. The credential type is physician/surgeon. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 123 Willow Oaks Ln, Mullica Hill, NJ 08062-4537. The current status is inactive.
| Licensee Name | KENNETH SMITH JR |
| Credential ID | 1122698 |
| Credential Number | 1.051447 |
| Credential Type | Physician/Surgeon |
| Business Address |
123 Willow Oaks Ln Mullica Hill NJ 08062-4537 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-10-02 |
| Effective Date | 2014-10-01 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2016-01-03 |
| Street Address | 123 WILLOW OAKS LN |
| City | MULLICA HILL |
| State | NJ |
| Zip Code | 08062-4537 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Duquesa Nacpil Osma | 16 Eagle Drive, Mullica Hill, NJ 08062 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kyle Gandy | 557 Clems Run, Mullica Hill, NJ 08062 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Donald P Heim | 512 Hancock Drive, Mullica Hill, NJ 08062 | Asbestos Consultant-inspector | 2019-10-01 ~ 2020-09-30 |
| Peter J Joyce | 24 Kaylas Way, Mullica Hill, NJ 08062 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Charles J Murphy | 110 Theresa Dr, Mullica, NJ 08062 | Professional Engineer | 2004-02-01 ~ 2005-01-31 |
| Michael J Kavlunas | 184 Harrisonville Road, Mullica Hill, NJ 08062 | Non-water Supply Contractor | ~ |
| Nelle V Kearns | 1412 Swan Ln, Mullica Hill, NJ 08062 | Registered Nurse | 2009-01-07 ~ 2010-01-31 |
| Kathleen A Levine | 17 Peach Ridge Dr, Mullica Hill, NJ 08062 | Registered Nurse | 2008-08-01 ~ 2009-09-30 |
| Edward M Velasquez | 30 Winding Way, Mullica Hill, NJ 08062 | Physical Therapist | 2003-12-12 ~ 2005-01-31 |
| Angela J Cole | 201 Allens Lane, Mullica Hill, NJ 08062 | Registered Nurse | 1992-03-24 ~ 1993-02-28 |
| Find all Licenses in zip 08062 | |||
| City | MULLICA HILL |
| Zip Code | 08062 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MULLICA HILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Smith Md | 13230 Jo Lane Ne, Albuquerque, NM 87111-7162 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Kenneth R Berv | Po Box 5, New Canaan, CT 06840-0005 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Kenneth B Lee | 2 Gold Street, New York, NY 10038 | Physician/surgeon | ~ |
| Kenneth Dobuler | Branford, CT 06405 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kenneth D Beckman | Whitefish Bay, WI 53211 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Kenneth J Searles | 12 Nautilus Pl, New Rochelle, NY 10805-1310 | Physician/surgeon | ~ |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Kenneth R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
Please comment or provide details below to improve the information on KENNETH SMITH JR.
| 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).