DONNA R KELLY (Credential# 1127388) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DONNA R KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053874. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 46 Elizabeth Rd, Beach Lake, PA 18405-4052. The current status is inactive.
| Licensee Name | DONNA R KELLY |
| Credential ID | 1127388 |
| Credential Number | CSP.0053874 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
46 Elizabeth Rd Beach Lake PA 18405-4052 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-10-16 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1123518 | 23.002822 | Physician Assistant | 2012-09-24 | 2013-03-01 - 2014-02-28 | INACTIVE |
| Street Address | 46 ELIZABETH RD |
| City | BEACH LAKE |
| State | PA |
| Zip Code | 18405-4052 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A Candela | 10 Candela Way, Beach Lake, PA 18405 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Barbara B Peters | 24 Edward Road, Beach Lake, PA 18405 9756 | Physical Therapist | 2005-01-31 ~ 2006-03-31 |
| William M Franklin | 1355 Beach Lake Hwy, Beach Lake, PA 18405-3014 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Richard J Frenyea | 43 Zimmer Trl, Beach Lake, PA 18405-3107 | Tv & Radio Limited Dish Antenna Technician | ~ |
| City | BEACH LAKE |
| Zip Code | 18405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEACH LAKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Gullotta | Po Box 465, Brownsville, VT 05037-0465 | Controlled Substance Registration for Practitioner | 2020-04-09 ~ 2021-02-28 |
| Kelly J Way | 34 B Springbrook Rd, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Deforest | 267 Rte 87, Columbia, CT 06237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M. Doran Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly M Ferjentsik | 34 Little Fox Ln, Monroe, CT 06468-1607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna D Nunno | 9 Elm St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna A Whyte | 680 Mix Ave Apt 6a, Hamden, CT 06514-2338 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Barbara A Kelly Md | 6 Stonewood Dr, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly Weikert | 47 Avonwood Rd Apt 218, Avon, CT 06001-2015 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly A Toth | 120 Mikayla Ln, Prospect, CT 06712-1497 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DONNA R KELLY.
| 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).