CHARLES ANDREW KENWORTHY (Credential# 2052229) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CHARLES ANDREW KENWORTHY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065986-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 158 Cherry St Apt 2d, Milford, CT 06460-3446. The current status is active.
| Licensee Name | CHARLES ANDREW KENWORTHY |
| Credential ID | 2052229 |
| Credential Number | 1.065986-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
158 Cherry St Apt 2d Milford CT 06460-3446 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2049641 | CSP.0074166 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| Street Address | 158 CHERRY ST APT 2D |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3446 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Michael Picciano | 158 Cherry St Apt 2d, Milford, CT 06460-3446 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natacha Louis-charles | 158 Cherry St Apt 2l, Milford, CT 06460-3446 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra E Oechsner | 158 Cherry St Apt 2f, Milford, CT 06460-3446 | Real Estate Salesperson | 2012-06-27 ~ 2013-05-31 |
| Millie A Klein | 158 Cherry St Apt 2b, Milford, CT 06460-3446 | Respiratory Care Practitioner | 2014-05-01 ~ 2015-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Charles Esposito | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew Jin | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew B Koo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Andrew Ding | Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Andrew Cox | 181 Alden Ave Unit B, New Haven, CT 06515-2109 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew C Rausch | 85 Lindale St Apt 3, Stamford, CT 06902-2838 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Andrew Wakeman | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2022-06-27 |
| Andrew Xiaohai Li | 154 Overbrook Rd, Madison, CT 06443-1953 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew S Zhang | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-03-09 ~ 2020-03-15 |
| Andrew S Kuhn | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on CHARLES ANDREW KENWORTHY.
| 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).