KATHLEEN A KENNEDY (Credential# 154742) 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.
KATHLEEN A KENNEDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015096. 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 19 Woodland St Ste 35, Hartford, CT 06105-2335. The current status is active.
| Licensee Name | KATHLEEN A KENNEDY |
| Credential ID | 154742 |
| Credential Number | CSP.0015096 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
19 Woodland St Ste 35 Hartford CT 06105-2335 |
| 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 | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546217 | 1.026843 | Physician/Surgeon | 1985-10-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A Kennedy | 265 New Haven Avenue # 1, Milford, CT 06460 | Notary Public Appointment | 2019-03-01 ~ 2024-02-28 |
| Street Address | 19 WOODLAND ST STE 35 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-2335 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Haris Athar | 19 Woodland St Ste 35, Hartford, CT 06105-2335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven E Lane | 19 Woodland St Ste 35, Hartford, CT 06105-2335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald T Suski | 19 Woodland St Ste 44, Hartford, CT 06105-2335 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eleanor Henken | 19 Woodland St Ste 25, Hartford, CT 06105-2335 | Dentist | 2016-10-01 ~ 2017-09-30 |
| Kevin L Collins D.o. | 19 Woodland Street, Hartford, CT 06105-2335 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kathleen M Gabriele Do | 19 Woodland St Ste 31, Hartford, CT 06105-2335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiffany Le | 1055 Kennedy Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph J Creme Md | 7 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Cynthia A Smith | 1 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas J Manzoli Dmd | 39 Kennedy Dr Ste C, Putnam, CT 06260-1957 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward A Curran Md | 5 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Laurie J Kennedy | 14 Nutmeg Dr, Somers, CT 06071-1451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley L Koleszar | 7 Kennedy Dr, Putnam, CT 06260-1939 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie A Mantelli | 5 Kennedy Dr, Putnam, CT 06260-1939 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sreenivasulu Panguluri Dds | 181 Kennedy Dr Apt 108, Malden, MA 02148-3442 | Controlled Substance Registration for Practitioner | 2011-06-23 ~ 2013-02-28 |
| Melissa Nelson | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHLEEN A KENNEDY.
| 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).