KEVIN JOHNSON (Credential# 1233461) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEVIN JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057937. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5016 West Genesee Street, Camillus, NY 13031. The current status is active.
| Licensee Name | KEVIN JOHNSON |
| Credential ID | 1233461 |
| Credential Number | CSP.0057937 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5016 West Genesee Street Camillus NY 13031 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1344001 | 1.055444 | Physician/Surgeon | 2016-07-11 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Johnson | 96 Rockview Drive, Cheshire, CT 06410 | Notary Public Appointment | 2001-01-22 ~ 2006-01-31 |
| Kevin Johnson | 335 Ferry Blvd Apt 201, Bridgeport, CT 06601 | Notary Public Appointment | 2019-08-01 ~ 2024-07-31 |
| Kevin Johnson | 100 West 92 Street Apt 15 G, New York, NY 10025 | Notary Public Appointment | 2008-11-14 ~ 2013-11-30 |
| Kevin Johnson · K J Carpentry | 6 Short St, Waterbury, CT 06704-2656 | Home Improvement Contractor | 2010-09-17 ~ 2011-11-30 |
| Kevin Johnson | 150 Manhan St, Waterbury, CT 06710 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Kevin Johnson · Red's | 46 Railroad St, New Milford, CT 06776 | Cafe Liquor | 2007-05-03 ~ 2008-05-02 |
| Kevin Johnson | 84 Waterhole Rd., Colchester, CT 06415 | Medication Administration Certification | 2005-05-10 ~ 2007-05-09 |
| Kevin Johnson | 156 Cross Roads, Waterford, CT 06385 | Medication Administration Certification | 1998-05-07 ~ 2000-05-06 |
| Street Address | 5016 West Genesee Street |
| City | Camillus |
| State | NY |
| Zip Code | 13031 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakisha Denine Kingwood | 129 Saddlestone Place, Camillus, NY 13031 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Leland A Ibbs | 2656 Lyons Rd, Camillus, NY 13031 | Heating, Piping & Cooling Limited Journeyperson | 2017-09-01 ~ 2018-08-31 |
| Christine A Decirce | 5333 Cobbler Way, Camillus, NY 13031 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Holly J Hathway | 962 Eagle Lane, Camillus, NY 13031 | Licensed Practical Nurse | 2010-01-04 ~ 2011-01-31 |
| Jeffrey J Bradlinski | 20 Queensway, Camillus, NY 13031 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Olive M Mack | 26 Eagle Lane, Camillus, NY 13031 | Registered Nurse | 2000-02-14 ~ 2010-04-30 |
| Benjamin D Sadowitz | 2731 W. Foxhill Lane, Camillus, NY 13031 | Physician/surgeon | 2008-11-07 ~ 2009-06-30 |
| Ann L Rogers | 122 Forrest Way, Camillus, NY 13031 | Registered Nurse | 1994-12-27 ~ 1996-01-31 |
| Trudy H Piersall | 416 Weatheridge Drive, Camillus, NY 13031 | Licensed Practical Nurse | 2006-01-03 ~ 2007-01-31 |
| Morris L Cleverley Jr | 107 Eastgate Rd, Camillus, NY 13031 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Find all Licenses in zip 13031 | |||
| City | Camillus |
| Zip Code | 13031 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Camillus |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin Robertson Pa | 118 Osborne St #1c, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2004-02-27 ~ 2005-02-28 |
| Kevin C Cline | 5 Stonybrook Rd, Norwalk, CT 06851-2310 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
| Kevin P Langan Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin D Cross Dds | 410 Saybrook Rd Ste 202, Middletown, CT 06457-4777 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Mcmahon | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2014-08-20 ~ |
| Kevin P Fitzmartin | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin Morine | 495 Williams St, Longmeadow, MA 01106-2059 | Controlled Substance Registration for Practitioner | ~ |
| Kevin Ferguson | 91 Chestnut St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on KEVIN JOHNSON.
| 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).