KELLEY MATT (Credential# 1690045) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 6, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLEY MATT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072379. The credential type is controlled substance registration for practitioner. The effective date is September 6, 2019. The expiration date is February 28, 2021. The business address is 30 Birch Rd, Darien, CT 06820-2901. The current status is active.
| Licensee Name | KELLEY MATT |
| Credential ID | 1690045 |
| Credential Number | CSP.0072379 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Birch Rd Darien CT 06820-2901 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-06 |
| Effective Date | 2019-09-06 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1674968 | 12.008412 | Advanced Practice Registered Nurse | 2019-08-20 | 2019-08-20 - 2020-07-31 | ACTIVE |
| 1668160 | 10.162709 | Registered Nurse | 2019-07-22 | 2019-07-22 - 2020-07-31 | ACTIVE |
| 1670493 | 10.161617-TEMP | Registered Nurse - Temporary | 2019-06-21 | 2019-06-21 - 2019-10-19 | INACTIVE |
| Street Address | 30 BIRCH RD |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-2901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin F Cassidy | 30 Birch Rd, Darien, CT 06820-2901 | Emergency Medical Technician | 2014-07-08 ~ 2017-04-01 |
| Colleen M Cassidy | 30 Birch Rd, Darien, CT 06820-2901 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travis F Langer | 12 Birch Rd, Darien, CT 06820-2901 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jacqueline S Cassidy | 45 Relihan Road, Darien, CT 06820-2901 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | DARIEN |
| Zip Code | 06820 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matt D Fay | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vincent Matt Laurich Md | 31 Grennan Rd, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert S Kelley | Bethel, CT 06810 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelley A Waters | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-09 ~ 2011-02-28 |
| Kathleen A Kelley | 31 Beechwood Rd, Branford, CT 06405-3203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian T Kelley | 28 Edwards St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kelley L Harpin | 9 Dudley Rd, Litchfield, CT 06759-3109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra Kelley | 33 William St, Pawcatuck, CT 06379-2106 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary M Kelley Pa | 25 Chestnut St, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Georgia A Kelley | 399 Crestwood Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KELLEY MATT.
| 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).