TIMOTHY W KELLY MD
Controlled Substance Registration for Practitioner


Address: 126a Hancock St, San Francisco, CA 94114-2531

TIMOTHY W KELLY MD (Credential# 155800) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

TIMOTHY W KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013661. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 126a Hancock St, San Francisco, CA 94114-2531. The current status is inactive.

Basic Information

Licensee Name TIMOTHY W KELLY MD
Credential ID 155800
Credential Number CSP.0013661
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 126a Hancock St
San Francisco
CA 94114-2531
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
546216 1.026842 Physician/Surgeon 1985-10-17 1998-11-02 - 1999-12-31 INACTIVE

Office Location

Street Address 126A HANCOCK ST
City SAN FRANCISCO
State CA
Zip Code 94114-2531

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Darren W Gero 4170 17th Street, San Francisco, CA 94114 Registered Nurse 2011-09-01 ~ 2012-08-31
Mary Pat Murphy Aprn 48 Sharon St, San Francisco, CA 94114 Advanced Practice Registered Nurse 2006-06-14 ~ 2007-07-31
Rachelle S Dubey 498 B Hoffman Av, San Francisco, CA 94114 Optometrist 1996-01-09 ~ 1997-02-28
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Competitor

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City SAN FRANCISCO
Zip Code 94114
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAN FRANCISCO

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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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