KENNETH S BACKMAN MD (Credential# 556442) 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.
KENNETH S BACKMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038854. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 55 Walls Drive - Suite 405, Fairfield, CT 06824. The current status is active.
| Licensee Name | KENNETH S BACKMAN MD |
| Credential ID | 556442 |
| Credential Number | 1.038854 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Walls Drive - Suite 405 Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-07-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 238646 | CSP.0029882 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 55 WALLS DRIVE - SUITE 405 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bret A Backman · Backman Construction | 189 Bushy Hill Rd, Danbury, CT 06810 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Karen A Backman Md | Po Box 1411, Camden, ME 04843-1411 | Physician/surgeon | 2002-03-27 ~ 2003-03-31 |
| Olson Backman LLC | 688 Glastonbury Tpke, Portland, CT 06480-1070 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Kenneth B Lee | 2 Gold Street, New York, NY 10038 | 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 R Lee | 437 Marlborough St., Boston, MA 02115 | Physician/surgeon | 2008-04-16 ~ 2009-04-30 |
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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).