KENNETH BLATT (Credential# 1490479) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
KENNETH BLATT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061881. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 103 North 8th Ave, Highland Park, NY 08904. The current status is active.
| Licensee Name | KENNETH BLATT |
| Credential ID | 1490479 |
| Credential Number | 1.061881 |
| Credential Type | Physician/Surgeon |
| Business Address |
103 North 8th Ave Highland Park NY 08904 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-04 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-15 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth Blatt | Capitol Region Mental Health Center, Hartford, CT 06112 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Street Address | 103 North 8th Ave |
| City | Highland Park |
| State | NY |
| Zip Code | 08904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stuart M Kilstein | 30 South Adelaide Avenue, Highland Park, NJ 08904 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anne M Salazar | 433 River Road, Highland Park, NJ 08904 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stuart Kilstein Md | 30 South Adelane Ave; Apt. 8-l, Highland Park, NJ 08904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil N Patel | 215 Montgomery St, Highland Park, NJ 08904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James M Sousa | 307 Lawrence Ave, Highland Park, NJ 08904 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Kayla N Ledvina | 142 North 10th Avenue, Highland Park, NJ 08904 | Master's Level Social Worker | 2017-04-01 ~ 2018-03-31 |
| Qasim Simmons | 265 South 8th Ave, Highland Park, NJ 08904 | Perfusionist | ~ |
| Dong T Le | 15 Marlborough Rd, Highland Park, NJ 08904 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Atlantic City Rescue Mission | Po Box 5358, Atlantic City, NJ 08904 | Public Charity-exempt From Financial Requirements | ~ |
| Restore Health | 440 A Raritan Ave, Highland Park, NJ 08904 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Find all Licenses in zip 08904 | |||
| City | Highland Park |
| Zip Code | 08904 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Highland Park |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles J Blatt | 8 Hillview Dr, Scarsdale, NY 10583 | Physician/surgeon | 2008-09-05 ~ 2009-01-31 |
| Ronald D Blatt | 144 E 44th St Fl 2, New York, NY 10017-4008 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Ellen R Blatt | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Kenneth B Lee | 2 Gold Street, New York, NY 10038 | Physician/surgeon | ~ |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
| Kenneth R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
| Kenneth H Dangman Md | Po Box 672, Farmington, CT 06034 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kenneth J Searles | 12 Nautilus Pl, New Rochelle, NY 10805-1310 | Physician/surgeon | ~ |
| Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Kenneth R Berv | Po Box 5, New Canaan, CT 06840-0005 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).