SIDNEY LOWELL KAHN (Credential# 1508213) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SIDNEY LOWELL KAHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061653. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 86 Ashley Ave, West Springfield, MA 01089-1302. The current status is active.
Licensee Name | SIDNEY LOWELL KAHN |
Credential ID | 1508213 |
Credential Number | 1.061653 |
Credential Type | Physician/Surgeon |
Business Address |
86 Ashley Ave West Springfield MA 01089-1302 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-07-17 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1606277 | CSP.0069684 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 86 ASHLEY AVE |
City | WEST SPRINGFIELD |
State | MA |
Zip Code | 01089-1302 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01089 |
City | WEST SPRINGFIELD |
Zip Code | 01089 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward P Bergin | Sidney Med Center, Sidney, MT 59270 | Physician/surgeon | 1996-05-20 ~ 1997-06-30 |
Zachary Alan Kahn | 129 Day St, Granby, CT 06035-1727 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Richard L Kahn | 770 Davenport Ave, New Rochelle, NY 10805 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Shoshanah E Kahn | 545 Clubhouse Rd, Woodmere, NY 11598-1901 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Benjamin Kahn | 40 Abrams Rd, Cheshire, CT 06410 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Ronald F Kahn | 147 Ledgestone Place, The Woodlands, TX 77382 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
Rene S Kahn | 3 Bayberry Circle, Rye Brook, NY 10573 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
Charles S Kahn | 5 Rock Ridge Rd, New Britain, CT 06052-1848 | Physician/surgeon | 2001-11-21 ~ 2002-08-31 |
Jeffrey P Kahn | 300 Central Park W Apt 1c, New York, NY 10024-1590 | Physician/surgeon | 2012-07-19 ~ 2012-10-31 |
Janis C Kahn | 1066 Park Hills Rd, Berkeley, CA 94708 | Physician/surgeon | 1997-04-25 ~ 1998-06-30 |
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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).