KEIREN D SMITH (Credential# 546385) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KEIREN D SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027131. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 9 Wheatstone Rd, Madison, CT 06443. The current status is active.
| Licensee Name | KEIREN D SMITH |
| Doing Business As | DONOVAN |
| Credential ID | 546385 |
| Credential Number | 1.027131 |
| Credential Type | Physician/Surgeon |
| Business Address |
9 Wheatstone Rd Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-04-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154221 | CSP.0014077 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 9 WHEATSTONE RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
| U G Smith | 267 Baldwin Road, Hempstead, NY 11550 | Physician/surgeon | 1994-04-18 ~ 1995-03-31 |
| Cathy S Smith | 257 N State Rd Apt 12d, Springfield, PA 19064-1813 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Benjamin D Smith | 39 Ives St #108, Hamden, CT 06518 | Physician/surgeon | 2006-01-30 ~ 2007-03-31 |
Please comment or provide details below to improve the information on KEIREN D SMITH.
| 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).