ROBERT E KENNON MD (Credential# 559715) 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.
ROBERT E KENNON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042133. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Orthopaedics New England, Middlebury, CT 06762. The current status is active.
| Licensee Name | ROBERT E KENNON MD |
| Credential ID | 559715 |
| Credential Number | 1.042133 |
| Credential Type | Physician/Surgeon |
| Business Address |
Orthopaedics New England Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-02-04 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 367419 | CSP.0034816 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-04-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | ORTHOPAEDICS NEW ENGLAND |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Ariyavatkul Pa-c | Orthopaedics New England, Middlebury, CT 06762 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Paul K Kennon | 421 Hudson St Apt 707, New York, NY 10014-3652 | Architect | 2018-08-01 ~ 2019-07-31 |
| Kenny Lee Kennon | 625 Paxinosa Ave, Easton, PA 18042-1655 | Land Surveyor | ~ |
| Kennon E Fisher | 960 Peck Ln, Cheshire, CT 06410-1564 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Tyrica Deshawn Kennon | 512 Tunnel St, Cedar Hill, TX 75104-8133 | Registered Nurse | 2018-02-01 ~ 2019-01-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
| Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
Please comment or provide details below to improve the information on ROBERT E KENNON 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).