KEVIN J REID (Credential# 1653237) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
KEVIN J REID is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062880-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 276 Towpath Ln, Cheshire, CT 06410-3314. The current status is active.
| Licensee Name | KEVIN J REID |
| Credential ID | 1653237 |
| Credential Number | 1.062880-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
276 Towpath Ln Cheshire CT 06410-3314 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1658575 | CSP.0071100 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-21 | 2019-06-21 - 2021-02-28 | ACTIVE |
| 1145313 | 70.015892 | Emergency Medical Technician | 2013-01-15 | 2013-01-15 - 2015-06-30 | INACTIVE |
| Street Address | 276 TOWPATH LN |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3314 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pivirotto Remodeling LLC | 184 Towpath Ln, Cheshire, CT 06410-3314 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reid Kraniski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Colin Beals-reid | 18 W Meadow Rd, Setauket, NY 11733-2265 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Reid A Waldman | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Kevin T Pelland Jr. | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Kevin J Barnum | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin R. Coleman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2020-06-30 |
| Kevin Clark | 44 Republic Dr, Bloomfield, CT 06002-5458 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Kevin M Wheelock | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kevin Yiming Yan | 240 Congress Ave Apt 316, New Haven, CT 06519-1403 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kevin A Kasner | 234 Kingswood Dr, Avon, CT 06001-3182 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
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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).