KEVIN CHEN (Credential# 1504389) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
KEVIN CHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061459. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 200 Evergreen Ave, Hamden, CT 06518-2742. The current status is active.
Licensee Name | KEVIN CHEN |
Credential ID | 1504389 |
Credential Number | 1.061459 |
Credential Type | Physician/Surgeon |
Business Address |
200 Evergreen Ave Hamden CT 06518-2742 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-25 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1524716 | 1.061394-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2020-06-30 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kevin Chen | 98 Richard Brown Dr, Uncasville, CT 06382-1135 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
Kevin Chen | 44 Ashland Ave, Springfield, MA 01119-2702 | Pharmacy Intern | 2012-10-16 ~ 2017-09-30 |
Kevin Chen | 1215 Wilbraham Rd Ms 1873, Springfield, MA 01119-2612 | Pharmacy Intern | 2011-09-19 ~ 2016-09-30 |
Kevin Chen | 950 Campbell Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Street Address | 200 EVERGREEN AVE |
City | HAMDEN |
State | CT |
Zip Code | 06518-2742 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Margaret M Prunier | 200 Evergreen Ave, Hamden, CT 06518 | Emergency Medical Technician | 2018-10-01 ~ 2021-09-30 |
Nancy K Linden | 200 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Jenneifer Veronica Campbell | 200 Evergreen Ave, Hamden, CT 06518-2406 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
Donald C Kelly | 200 Evergreen Ave, Hamden, CT 06518 | Physical Therapist | 1999-04-16 ~ 2000-06-30 |
Jed E Black | 200 Evergreen Ave, Hamden, CT 06518 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Connor James Halloran | 200 Evergreen Ave, Hamden, CT 06518 | Emergency Medical Technician | ~ |
James A Gormley | 200 Evergreen Ave, Hamden, CT 06518 | Real Estate Salesperson | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather M Nargi | 200 Evergreen Ave # 58, Hamden, CT 06518-2742 | Emergency Medical Technician | 2014-04-03 ~ 2017-04-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Find all Licenses in zip 06518 |
City | HAMDEN |
Zip Code | 06518 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Chen Chen | 20 Martin Rd, Weston, CT 06883 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jason C. Chen | 35 River Rd, Cos Cob, CT 06807-2759 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
Laura Chen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ |
Emily J Chen Md | 5 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2008-09-22 ~ 2009-11-30 |
Henry T Chen | 28 Peddlers Dr., Branford, CT 06405 | Physician/surgeon | 2008-10-28 ~ 2009-10-31 |
Chen Wang | 131 Rieser Cir, Naperville, IL 60565-2033 | Physician/surgeon | 2011-02-10 ~ 2011-09-30 |
James H. Chen | 106 Hopfield Dr, Folsom, CA 95630-8060 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
Daniel Chen | Upper Campus, Farmington, CT 06030 | Physician/surgeon | ~ |
Xinyue Liu-chen Md | 54 Reynolds St, Danielson, CT 06239 | Physician/surgeon | 2006-04-18 ~ 2007-05-31 |
Peggy G Chen Md | 28 Elmwood Rd, New Haven, CT 06515-2242 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
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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).