KEVIN H SMALL (Credential# 1418623) 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 H SMALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065218. 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 50 Rolling Hill Lane, Old Westbury, NY 11568. The current status is active.
| Licensee Name | KEVIN H SMALL |
| Credential ID | 1418623 |
| Credential Number | CSP.0065218 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
50 Rolling Hill Lane Old Westbury NY 11568 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1188022 | 1.052616 | Physician/Surgeon | 2013-12-13 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 50 Rolling Hill Lane |
| City | Old Westbury |
| State | NY |
| Zip Code | 11568 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ahmed Faraz Aslam | 161 Old Westbury Rd, Old Westbury, NY 11568 | Physician/surgeon | ~ |
| Rocco Louis Trotta | 66 I.u. Willets Road, Old Westbury, NY 11568 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Robert A Cervoni | 14 Sandpiper Court, Old Westbury, NY 11568 | Notary Public Appointment | 2019-08-01 ~ 2024-07-31 |
| Paniccia Contracting Inc | 82 Wheatley Rd, Old Westbury, NY 11568 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Lloyd J Landow | Old Westbury Equestrian Center, Old Westbury, NY 11568 | Architect | 2016-08-01 ~ 2017-07-31 |
| Richard I Pezenik | 6 Terrace Ct, Old Westbury, NY 11568 | Professional Engineer | 1991-01-29 ~ 1992-01-31 |
| Wilbur F Breslin | 3 Forte Dr, Old Westbury, NY 11568 | Real Estate Broker | ~ |
| Victor Stephan Rich | 5 Red Ground Road, Old Waterbury, NY 11568 | Certified Public Accountant License | 2003-01-01 ~ 2003-12-31 |
| Mary I Fatehi | 22 Pheasant Run, Old Westbury, NY 11568 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Tbag Enterprises LLC · Icon Cleaning | 41 Old Westbury Rd, Old Westbury, NY 11568 | Home Improvement Contractor | 2009-04-23 ~ 2009-11-30 |
| Find all Licenses in zip 11568 | |||
| City | Old Westbury |
| Zip Code | 11568 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Old Westbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aeron Small | 20 York Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Small | 220 North Central Ave, Hartsdale, NY 10530 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Susan Small | 252 Trumbull Highway, Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey D Small | 1900 Fence Row Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Small Md | 7365 Main Street, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Maria Small Md | Yale Unversity School Medicine, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William S Pfaffmann · Small Smiles Dental Center of Hartford | 62 Autumn Ln, Middletown, CT 06457-4787 | 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 C Cline | 5 Stonybrook Rd, Norwalk, CT 06851-2310 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEVIN H SMALL.
| 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).