KELLY ANN MEENAN (Credential# 1688879) is licensed (Physician Assistant) 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.
KELLY ANN MEENAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004610. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 8 Lenmore Dr, Old Bethpage, NY 11804-1119. The current status is active.
| Licensee Name | KELLY ANN MEENAN |
| Credential ID | 1688879 |
| Credential Number | 23.004610 |
| Credential Type | Physician Assistant |
| Business Address |
8 Lenmore Dr Old Bethpage NY 11804-1119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-27 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1691115 | CSP.0072415 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-27 | 2019-09-27 - 2021-02-28 | ACTIVE |
| Street Address | 8 LENMORE DR |
| City | OLD BETHPAGE |
| State | NY |
| Zip Code | 11804-1119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Emergency Medical Technician | 2015-06-09 ~ 2018-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yong Gon Kim | 1114 Round Swamp Road, Old Bethpage, NY 11804 | Acupuncturist | 2020-03-01 ~ 2022-02-28 |
| Abid M Ansari | 211 Haypath Road, Old Bethpage, NY 11804 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Anthony L Curraro | 1119 Round Swamp Road, Old Bethpage, NY 11804 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Karen B Goldberg | 24 Adrienne Dr, Old Bethpage, NY 11804 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Tasty Frozen Products Inc | 191 Bethpage Sweet Hollow Rd, Old Bethpage, NY 11804 | Bakery | 1995-11-28 ~ 1996-06-30 |
| John M Imhof Jr · Accent Architecture Pllc | 5 Barry Lane West, Old Bethpage, NY 11804 | Architect | 2009-08-01 ~ 2010-07-31 |
| Argante Cappelli | 14 Vanderbilt Lane, Old Bethpage, NY 11804 | Certified Public Accountant Certificate | ~ |
| Joseph Edward Oprosko, Jr. | 10 Sarah Drive, Old Bethpage, NY 11804 | Certified Public Accountant License | 2002-01-01 ~ 2002-12-31 |
| Christine Sands | 10 Mahan Road, Old Bethpage, NY 11804 | Registered Nurse | 2008-07-31 ~ 2009-01-07 |
| Ellen Dashefsky | 19 Prescott Pl, Old Bethpage, NY 11804 | Veterinarian | 2003-06-26 ~ 2004-03-31 |
| Find all Licenses in zip 11804 | |||
| City | OLD BETHPAGE |
| Zip Code | 11804 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + OLD BETHPAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick T Meenan · Meenan Brothers Construction | 4 Coley Road, Wilton, CT 06897 | Electrical Unlimited Contractor | 2019-10-14 ~ 2020-09-30 |
| Kelly A Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Emergency Medical Technician | 2015-06-09 ~ 2018-04-01 |
| Meenan Brothers Construction LLC | 304 Main Avenue, Norwalk, CT 06851-1101 | Home Improvement Contractor | 2018-12-20 ~ 2019-11-30 |
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelly Nguyen | 134 Wakefield Cir, East Hartford, CT 06118-1632 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelly A. Barrett | 148 Mathewson St Unit 203, Jewett City, CT 06351-2060 | Physician Assistant | ~ |
| Kelly C Lindquist | 4 Queens Peak Rd., Canton, CT 06019 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly A Christman | 29 Peepers Holw, Greenwich, CT 06831-3225 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on KELLY ANN MEENAN.
| 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).