KENNETH W DONOVAN MD (Credential# 385970) 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.
KENNETH W DONOVAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036578. 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 26 Dawley Dr, Stonington, CT 06378-2021. The current status is active.
| Licensee Name | KENNETH W DONOVAN MD |
| Credential ID | 385970 |
| Credential Number | CSP.0036578 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
26 Dawley Dr Stonington CT 06378-2021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-11-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1331093 | CSP.0062029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-01-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 560498 | 1.042916 | Physician/Surgeon | 2004-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1329713 | CSP.0061998 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-01-22 | 2016-01-22 - 2017-02-28 | INACTIVE |
| Street Address | 26 DAWLEY DR |
| City | STONINGTON |
| State | CT |
| Zip Code | 06378-2021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melody E Edelman | 54 Dawley Dr, Stonington, CT 06378-2021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Robert C Callahan | 32 Dawley Dr, Stonington, CT 06378-2021 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edith E Morrison-morren | 9 Oak St, Stonington, CT 06378 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joseph Vito Larico | 14 Sherwood Dr., Stonington, CT 06378 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Sound Building Construction LLC | 1034 Pequot Trail, Stonington, CT 06378 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Caroline Marion Georgetti | 9 Oak Drive, Stonington, CT 06378 | Acupuncturist | 2020-08-01 ~ 2022-07-31 |
| John P Carbo | 65 Alpha Avenue, Stonington, CT 06378 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| John Kelley Memorial Fund, Inc | 152 Water Street, Stonington, CT 06378 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Donna L Starling | 647 New London Turnp, Stonington, CT 06378 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Michael J Lenihan | 16 Sherwood Dr, Stonington, CT 06378 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Raymond Joseph Dussault | 1388 Pequot Trail, Stonington, CT 06378 | Casino Class I Employee | 2019-12-03 ~ 2020-02-23 |
| The Global Child | 769 Stonington Road, Stonington, CT 06378 | Child Care Center | 2019-10-01 ~ 2023-09-30 |
| Find all Licenses in zip 06378 | |||
| City | STONINGTON |
| Zip Code | 06378 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STONINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa O'donovan | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Ryan J Donovan Pa | 40 Brookside Pl, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elaine Donovan | 188 Atkins St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James F Donovan Md | 211 Farmcliff Dr, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 1993-05-14 ~ 1995-06-01 |
| Lisa M Donovan Md | 27 Red Cross Ave, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachel Donovan Lnm | 531 Neipsic Road, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek William Donovan | 484 Middletown Rd, Colchester, CT 06415-2230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cristina Donovan | 225 Brush Hill Rd, Litchfield, CT 06759-3218 | Controlled Substance Registration for Practitioner | ~ |
| Shannon Louise Donovan Mazur | 66 Amherst Rd, South Hadley, MA 01075-1202 | Controlled Substance Registration for Practitioner | ~ |
| Jayne Donovan | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KENNETH W DONOVAN MD.
| 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).