KENNETH J EAGAN DDS
Controlled Substance Registration for Practitioner


Address: 146 Elm St, Cheshire, CT 06410

KENNETH J EAGAN DDS (Credential# 150014) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

KENNETH J EAGAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004660. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 146 Elm St, Cheshire, CT 06410. The current status is inactive.

Basic Information

Licensee Name KENNETH J EAGAN DDS
Credential ID 150014
Credential Number CSP.0004660
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 146 Elm St
Cheshire
CT 06410
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
699527 2.002659 Dentist 1951-07-21 2010-06-01 - 2011-05-31 INACTIVE

Office Location

Street Address 146 ELM ST
City CHESHIRE
State CT
Zip Code 06410

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Competitor

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City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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Dataset Information

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).

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