PAUL KENSICKI MD (Credential# 547181) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 18, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.
PAUL KENSICKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028461. The credential type is physician/surgeon. The effective date is October 18, 2004. The expiration date is November 30, 2005. The business address is 1105 Juliana Court Ste #3, Elizabethtown, KY 42701. The current status is inactive.
| Licensee Name | PAUL KENSICKI MD |
| Credential ID | 547181 |
| Credential Number | 1.028461 |
| Credential Type | Physician/Surgeon |
| Business Address |
1105 Juliana Court Ste #3 Elizabethtown KY 42701 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-08-21 |
| Effective Date | 2004-10-18 |
| Expiration Date | 2005-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156610 | CSP.0015603 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 1105 JULIANA COURT STE #3 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connie Morrison | 1936 Lakewood Drive, Elizabethtown, KY 42701 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Donya Thorne Gardner Claycamp | 27 Farmers Road, Elizabethtown, KY 42701 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Barbara J Carroll | 212 Thoroughbred Lane, Elizabethtown, KY 42701 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Thomas J Gotreaux | 202 South Mantle Ave, Elizabethtown, KY 42701 | Registered Nurse | 2012-03-02 ~ 2013-02-28 |
| Saadia Qureshi Md | 217 Evergreen Garden Drive, Elizabeth Town, KY 42701 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael James Woodrum II | C/o David G Day, Elizabethtown, KY 42701 | Engineer-in-training | 2000-01-11 ~ 2010-01-11 |
| Raymundo C Racela | 2526 Shadow Creek Lane, Elizabethtown, KY 42701 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| George R Nickell | 159 Secretariat Road, Elizabethtown, KY 42701 | Registered Nurse | 2004-02-23 ~ 2004-11-30 |
| Roy M Blackburn | 803 N. Dixie Ave, Ste 234, Elizabethtown, KY 42701 | Physician/surgeon | 2002-08-27 ~ 2003-08-31 |
| Ups Supply Chain Solutions Inc | 800 N Black Branch Rd, Elizabethtown, KY 42701 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2004-07-01 ~ 2005-06-30 |
| Find all Licenses in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ELIZABETHTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| Patricia Ann Kensicki | 74 Middle Quarter Rd, Woodbury, CT 06798 | Notary Public Appointment | 1993-03-24 ~ 1998-03-31 |
| Paul J Beauvais | Ste 300, Waterbury, CT 06708 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Paul N Graffagnino | P.o. Box 443, Woodstock, VT 05091-4443 | Physician/surgeon | 1996-02-23 ~ 1997-04-30 |
| Paul F Haley | 22 Stonebridge Way, Lee, MA 01238-9290 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Paul C Sullivan | 8 Ash St, Nantucket, MA 02554-3517 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Paul B Thompson Do | 260 Fifth Ave Apt #10-n, New York, NY 10001 | Physician/surgeon | 2006-03-20 ~ 2007-03-31 |
| Paul R Danker | Po Box 506, Slingerlands, NY 12159 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
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| 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).