KENNETH GERARD WARNER
Controlled Substance Registration for Practitioner


Address: 750 Washington St # 266, Boston, MA 02111-1526

KENNETH GERARD WARNER (Credential# 1608057) 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.

Business Overview

KENNETH GERARD WARNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069743. 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 750 Washington St # 266, Boston, MA 02111-1526. The current status is active.

Basic Information

Licensee Name KENNETH GERARD WARNER
Credential ID 1608057
Credential Number CSP.0069743
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 750 Washington St # 266
Boston
MA 02111-1526
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-10-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1510804 1.061691 Physician/Surgeon 2018-08-01 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 750 WASHINGTON ST # 266
City BOSTON
State MA
Zip Code 02111-1526

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Competitor

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City BOSTON
Zip Code 02111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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