KEVIN R MCCONNELL
Controlled Substance Registration for Practitioner


Address: 65 Ford St, Hamden, CT 06517

KEVIN R MCCONNELL (Credential# 154546) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 7, 1992. The license expiration date date is January 1, 1995. The license status is INACTIVE.

Business Overview

KEVIN R MCCONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015080. The credential type is controlled substance registration for practitioner. The effective date is December 7, 1992. The expiration date is January 1, 1995. The business address is 65 Ford St, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name KEVIN R MCCONNELL
Credential ID 154546
Credential Number CSP.0015080
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 65 Ford St
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1992-12-07
Expiration Date 1995-01-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
546648 1.027546 Physician/Surgeon 1986-08-15 1993-08-25 - 1994-08-31 INACTIVE

Office Location

Street Address 65 FORD ST
City HAMDEN
State CT
Zip Code 06517

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Susan H Mcconnell 65 Ford St, Hamden, CT 06517 Registered Nurse 1993-09-23 ~ 1994-10-31

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Competitor

Search similar business entities

City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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