KENNETH BRODER DMD (Credential# 702593) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KENNETH BRODER DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008127. The credential type is dentist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 144 Morgan St, Stamford, CT 06905. The current status is active.
Licensee Name | KENNETH BRODER DMD |
Credential ID | 702593 |
Credential Number | 2.008127 |
Credential Type | Dentist |
Business Address |
144 Morgan St Stamford CT 06905 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1995-04-07 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162058 | CSP.0023568 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 144 MORGAN ST |
City | STAMFORD |
State | CT |
Zip Code | 06905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas J Chapdelaine | 144 Morgan St, Stamford, CT 06905-5433 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Edward B Allen | 144 Morgan St, Stamford, CT 06905 | Dentist | 2014-06-01 ~ 2015-05-31 |
Medical Arts Pharmacy of Stamford | 144 Morgan St, Stamford, CT 06905 | Pharmacy | 2000-09-01 ~ 2000-10-05 |
James E Rubin | 144 Morgan St, Stamford, CT 06905 | Dentist | 1998-04-13 ~ 1999-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06905 |
City | STAMFORD |
Zip Code | 06905 |
License Type | Dentist |
License Type + County | Dentist + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Broder Contracting Inc | 336 Washington Ave, New Rochelle, NY 10801 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Glenn B Broder · Glenn Broder Construction Carpentry | 13 Old Easton Tpke, Weston, CT 06883 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Broder Group Real Estate LLC | 43 North Main Street, West Hartford, CT 06107 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Kenneth Y Fishman | 220 E. 63rd St, New York, NY 10065 | Dentist | 2009-05-26 ~ 2010-07-31 |
Kenneth H Fried | 13 Park St, Norwalk, CT 06851 | Dentist | 1992-02-24 ~ 1993-01-31 |
Kenneth P Sunshine | 5 Exeter Ct, Mystic, CT 06355-3112 | Dentist | 2014-07-01 ~ 2015-06-30 |
Kenneth S Sangiacomo | 5 Valley Ct, Bethel, CT 06801-3228 | Dentist | 2020-06-01 ~ 2021-05-31 |
Kenneth L Lefkowitz | 134 Thurgood St, Gaithersburg, MD 20878-5746 | Dentist | 2020-05-01 ~ 2021-04-30 |
Kenneth C Childs | 25 Bonner St, Stamford, CT 06902 | Dentist | 2016-07-01 ~ 2017-06-30 |
Kenneth B Temple | Valleywood Med Bldg, Cos Cob, CT 06807 | Dentist | 2020-03-01 ~ 2021-02-28 |
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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).