KENNETH J EGAN (Credential# 547842) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KENNETH J EGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029527. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 901 Ethan Allen Hwy, Ridgefield, CT 06877-2834. The current status is active.
| Licensee Name | KENNETH J EGAN |
| Credential ID | 547842 |
| Credential Number | 1.029527 |
| Credential Type | Physician/Surgeon |
| Business Address |
901 Ethan Allen Hwy Ridgefield CT 06877-2834 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-10-14 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153960 | CSP.0016759 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 901 ETHAN ALLEN HWY |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-2834 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Club 24 Concept Gyms | 901 Ethan Allen Hwy, Ridgefield, CT 06877-2834 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Natasha A Tzagoloff | 901 Ethan Allen Hwy, Ridgefield, CT 06877-2834 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Train 2 Xcel LLC | 901 Ethan Allen Hwy Ste 305, Ridgefield, CT 06877-2834 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jes Egan Fund · Jes Egan Benefit Golf Outing; Jeff Egan Trust | 237 Hendley St, Middletown, CT 06457-3523 | Public Charity-exempt From Financial Requirements | 2011-05-20 ~ |
| Egan Realty Inc · Bradley C Egan | 14 Silo Hill Rd, Madison, CT 06443 | Real Estate Broker | 1997-06-01 ~ 1998-05-31 |
| John J Egan · Egan Painting Co | P O Box 62, Cheshire, CT 06410 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Kenneth R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
| Kenneth D Beckman | Whitefish Bay, WI 53211 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Kenneth R Berv | Po Box 5, New Canaan, CT 06840-0005 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kenneth H Dangman Md | Po Box 672, Farmington, CT 06034 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
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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).