ANDREW S KENLER (Credential# 163251) 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.
ANDREW S KENLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023869. 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 5520 Park Ave, Trumbull, CT 06611-3465. The current status is active.
Licensee Name | ANDREW S KENLER |
Credential ID | 163251 |
Credential Number | CSP.0023869 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
5520 Park Ave Trumbull CT 06611-3465 |
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 |
---|---|---|---|---|---|
552537 | 1.034942 | Physician/Surgeon | 1995-11-03 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 5520 Park Ave |
City | TRUMBULL |
State | CT |
Zip Code | 06611-3465 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dina Ferdman | 5520 Park Ave, Trumbull, CT 06611-3463 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Radhika S Datar | 5520 Park Ave, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Smilow Cancer Hospital Trumbull Treatment Ctr | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
Danielle Marie Bertoni | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Germano Guadagnoli Md | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rui Zhang | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Justin Persico | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Pediatric Oncology Treatment Center | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jordan Marcou | 5520 Park Ave, Trumbull, MA 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roxanne C Abder Md | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David H Witt | 5520 Park Ave Ste 203, Trumbull, CT 06611-3465 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Andrew J Levi | 5520 Park Ave Ste Mg250, Trumbull, CT 06611-3465 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Laurie J Harrold | 5520 Park Ave Ste 203, Trumbull, CT 06611-3465 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew Kornstein Md PC | 539 Danbury Rd, Wilton, CT 06897-2216 | Controlled Substance Registration for Practitioner | 2015-11-12 ~ 2017-02-28 |
Andrew D Pearle | 390 Forest Ave, Rye, NY 10580-3613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrew J Yoon | 318 Elm St Apt A4, New Haven, CT 06511-4772 | Controlled Substance Registration for Practitioner | 2008-09-30 ~ 2009-02-28 |
Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Andrew Oh | 205 Church St Apt 2j, New Haven, CT 06510-1895 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Andrew Cha | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Andrew E Kim Md | 2 Foxhall Rd, Newtown, PA 18940-2930 | Controlled Substance Registration for Practitioner | 2015-06-15 ~ 2017-02-28 |
Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Andrew Lim | 81 Fieldstone Run, Farmington, CT 06032-2741 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrew D Stiles | 201 Ann St Apt 305, Hartford, CT 06103-2000 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
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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).