KENNETH R LARSEN DO (Credential# 538018) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KENNETH R LARSEN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000273-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 382 Grindstone Hill Rd, North Stonington, CT 06359. The current status is active.
| Licensee Name | KENNETH R LARSEN DO |
| Credential ID | 538018 |
| Credential Number | 1.000273-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
382 Grindstone Hill Rd North Stonington CT 06359 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 123112 | CSP.0024987 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 382 GRINDSTONE HILL RD |
| City | NORTH STONINGTON |
| State | CT |
| Zip Code | 06359 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Katamura | 382 Grindstone Hill Rd, North Stonington, CT 06359-1106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Taylor | 404 Pendleton Hill Rd, North Stonington, CT 06359 | Esthetician | 2020-06-27 ~ 2022-03-31 |
| Alaina L Kindelan | 70e Reutemann Rd, North Stonington, CT 06359 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Tenzin Dechen | 105 A Lakeside Drive, North Stonington, CT 06359 | Casino Class I Employee | 2019-12-03 ~ 2020-03-02 |
| Chad J Eaton · Bellissimo Grande | 411a 411b Norwich Westerly Road, North Stonington, CT 06359 | Hotel Liquor (10000 Or Less Population) | 2019-12-20 ~ 2021-04-19 |
| Carolyn A Howell | 495 Providence Newlondon Turnpike, North Stonington, CT 06359 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nancy L Peterson | 30 Pond Drive, North Stonington, CT 06359 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Pamela C Greenleaf | 28 Pond Dr, North Stonington, CT 06359 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorna Mckusick Pulver | 62n Patricia Avenue, North Stonington, CT 06359 | Esthetician | 2020-06-13 ~ 2022-04-30 |
| Jennifer A Emert · Chappell | 85 Rocky Hollow Rd, North Stonington, CT 06359 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ariel J Pelletier | 389j Wyassup Road, North Stonington, CT 06359 | Notary Public Appointment | 2020-06-11 ~ 2025-06-30 |
| Find all Licenses in zip 06359 | |||
| City | NORTH STONINGTON |
| Zip Code | 06359 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH STONINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher P. Larsen | 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lind Scott Larsen | 3211 E Lincoln Hwy, Parkesburg, PA 19365 | Physician/surgeon | 2019-09-16 ~ 2020-02-29 |
| John Walter Larsen Jr | 4760 N. 33rd Street, Arlington, VA 22207 | Physician/surgeon | 1969-11-10 ~ 1980-01-31 |
| Thomas L Larsen · Larsen Painting Co | 431 Shewville Rd, Ledyard, CT 06339 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Kristian B Larsen Inc | 1245 Dunbar Hill Rd, Hamden, CT 06514 | Home Improvement Contractor | 2006-12-12 ~ 2007-11-30 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Kenneth B Lee | 2 Gold Street, New York, NY 10038 | Physician/surgeon | ~ |
| Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Kenneth R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
| Kenneth R Berv | Po Box 5, New Canaan, CT 06840-0005 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KENNETH R LARSEN DO.
| 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).