MARGARET KELLY MD
Controlled Substance Registration for Practitioner


Address: 15 Red Orange Rd, Middletown, CT 06457

MARGARET KELLY MD (Credential# 144937) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

MARGARET KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006783. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 15 Red Orange Rd, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name MARGARET KELLY MD
Credential ID 144937
Credential Number CSP.0006783
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Red Orange Rd
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
539061 1.008093 Physician/Surgeon 1956-01-11 2003-11-03 - 2004-11-30 INACTIVE

Office Location

Street Address 15 RED ORANGE RD
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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Dataset Information

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).

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