KENNETH J MUKAMAL (Credential# 163058) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 22, 1993. The license expiration date date is January 1, 1995. The license status is INACTIVE.
KENNETH J MUKAMAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021056. The credential type is controlled substance registration for practitioner. The effective date is June 22, 1993. The expiration date is January 1, 1995. The business address is 365 Mather St #127, Hamden, CT 06514. The current status is inactive.
| Licensee Name | KENNETH J MUKAMAL |
| Credential ID | 163058 |
| Credential Number | CSP.0021056 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
365 Mather St #127 Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-06-22 |
| Expiration Date | 1995-01-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550572 | 1.032973 | Physician/Surgeon | 1993-05-21 | 1993-09-23 - 1994-10-31 | INACTIVE |
| Street Address | 365 MATHER ST #127 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| 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 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 J Lippman Md | 18 Sylvan Rd S, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 H Schulte | 201 Canal Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on KENNETH J MUKAMAL.
| 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).