KENNETH R DARDICK (Credential# 152823) 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.
KENNETH R DARDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003137. 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 34 Professional Park Rd, Storrs, CT 06268-1659. The current status is active.
| Licensee Name | KENNETH R DARDICK |
| Credential ID | 152823 |
| Credential Number | CSP.0003137 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
34 Professional Park Rd Storrs CT 06268-1659 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542533 | 1.017773 | Physician/Surgeon | 1976-05-13 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 34 PROFESSIONAL PARK RD |
| City | STORRS |
| State | CT |
| Zip Code | 06268-1659 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darren M Lynch Md | 34 Professional Park Rd, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 2002-03-05 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayaz T Madraswalla | 34 Proffessional Park Rd, Storrs, CT 06268-1659 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mission Connecticut LLC · Mission Connecticut (ct) LLC | 22 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 | Medical Marijuana Dispensary Facility | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Eagan Dds | 146 Elm St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth Powers Md | 50 Orchard Ave, Rye, NY 10580-2806 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth O. Bonaparte | Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth M Gheen Md | 809 Noe Rd, Larkspur, CO 80118 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kenneth Wachs Dds | 36 Padanaram Rd, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth H Schulte | 201 Canal Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Kenneth J Garcia | 460 W 236th St Apt W-3a, Bronx, NY 10463-2073 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Kenneth W Hung | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-25 ~ 2021-02-28 |
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth J Mukamal | 365 Mather St #127, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1993-06-22 ~ 1995-01-01 |
Please comment or provide details below to improve the information on KENNETH R DARDICK.
| 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).