KENT M BURGWARDT (Credential# 538205) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
KENT M BURGWARDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000473-DO. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 314 Whitewood Drive, Rocky Hill, CT 06067. The current status is active.
| Licensee Name | KENT M BURGWARDT |
| Credential ID | 538205 |
| Credential Number | 1.000473-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
314 Whitewood Drive Rocky Hill CT 06067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-05-30 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-10 |
| Street Address | 314 Whitewood Drive |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
| Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
| Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
| Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
| Find all Licenses in zip 06067 | |||
| City | ROCKY HILL |
| Zip Code | 06067 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ROCKY HILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kent Burgwardt Do | 314 Whitewood Dr, Rocky Hill, CT 06067-4256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeannette Marlow | 201 Kent Rd, Kent, CT 06757 | Physician/surgeon | 1996-11-12 ~ 1997-10-31 |
| Sean Burgwardt | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicolle M Burgwardt | 1201 Washington Blvd Apt 428, Stamford, CT 06902-8812 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Donald H Peters Md | Elizabeth St, Kent, CT 06757 | Physician/surgeon | 2000-02-14 ~ 2001-04-30 |
| Robert E Rosenberg | 23 Kent Rd, Scarsdale, NY 10583-2303 | Physician/surgeon | 2012-12-27 ~ 2013-10-31 |
| Kristen Jennifer Kent | 298 5th Avenue, New York, NY 10001 | Physician/surgeon | ~ |
| Christie D Garb Md | 38 N Main St, Kent, CT 06757-1511 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Marcy Cooper | 48 Kent St #3, Brookline, MA 02146 | Physician/surgeon | 1993-11-10 ~ 1994-11-30 |
| Donald Kent Md | 15 Wilbur Rd, Stonington, CT 06378 | Physician/surgeon | 2007-04-02 ~ 2008-04-30 |
Please comment or provide details below to improve the information on KENT M BURGWARDT.
| 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).