KEVIN M JOHNSON MD (Credential# 549857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KEVIN M JOHNSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032236. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 19 Stanton Ct, Madison, CT 06443. The current status is active.
| Licensee Name | KEVIN M JOHNSON MD |
| Credential ID | 549857 |
| Credential Number | 1.032236 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Stanton Ct Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159730 | CSP.0020215 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 19 STANTON CT |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura J Horvath Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| 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 |
|---|---|---|---|
| Kevin J Johnson · Kevin Johnson Enterprises | 244 Guilford Rd, Durham, CT 06422-3304 | Plumbing & Piping Limited Contractor | 2019-11-08 ~ 2020-10-31 |
| Kevin Y Pei | Po Box 208062, New Haven, CT 06520 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Kevin L Soe | 26 Jasmine Dr, Middletown, NY 10940-5046 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Kevin J Tally | 16 Rip Rd, Hanover, NH 03755-1614 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin W Dickey Md | Po Box 217, New Britain, CT 06050-0217 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Kevin O'gara Do | Po Box 618, Pleasant Valley, CT 06063-0618 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin C Neilson | 205 Shore Ave., Groton, CT 06340 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Kevin D Mcmahon | 546 So Broad St, Meriden, CT 06450 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Kevin W Watson | 300 Kensington Ave, New Britain, CT 06051-3916 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kevin R Dougherty | 85 Seymour St Ste 719, Hartford, CT 06106-5526 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KEVIN M JOHNSON MD.
| 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).