KEVIN J REAGAN MD (Credential# 553613) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KEVIN J REAGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036021. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 35 Kennedy Dr, Putnam, CT 06260. The current status is active.
| Licensee Name | KEVIN J REAGAN MD |
| Credential ID | 553613 |
| Credential Number | 1.036021 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Kennedy Dr Putnam CT 06260 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-05-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 185300 | CSP.0025665 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 35 KENNEDY DR |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel C George | 35 Kennedy Dr, Putnam, CT 06260-1939 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott A Green Do | 35 Kennedy Dr, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian H Dee Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krista M. Reagan | 85 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Fayruz Araji Villatoro | 2626 Reagan St Apt 253, Dallas, TX 75219 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jeff Reagan · Reagan Home Improvement | 122 Niles Hill Rd, Waterford, CT 06385 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Reagan Homes LLC | 197 Long Wharf Dr, Mystic, CT 06355-3136 | New Home Construction Contractor | 2019-10-02 ~ 2021-09-30 |
| Reagan Contractors LLC | 18 North Rd, Waterford, CT 06385-2222 | Home Improvement Contractor | 2018-05-02 ~ 2018-11-30 |
| Kevin J Tally | 16 Rip Rd, Hanover, NH 03755-1614 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| 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 W Dickey Md | Po Box 217, New Britain, CT 06050-0217 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Kevin D Wolter | Pfizer, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on KEVIN J REAGAN 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).