KELLY NELSON MD (Credential# 174008) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY NELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024371. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5 Pequot Park Road, Westbrook, CT 06498. The current status is active.
| Licensee Name | KELLY NELSON MD |
| Credential ID | 174008 |
| Credential Number | CSP.0024371 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Pequot Park Road Westbrook CT 06498 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| Street Address | 5 PEQUOT PARK ROAD |
| City | WESTBROOK |
| State | CT |
| Zip Code | 06498 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zadie Kenkare Md | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci J Marquis-eydman | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jill M Banatoski | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Rose | 69 Post Avenue, Westbrook, CT 06498 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Harry's Marine | 38 Hammock Road South, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kathleen Joann Mckay | 5 Timberlane Dr, Westbrook, CT 06498 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pennywise Oil Company Inc | 35 Westbrook Industrial Park Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly F Harlow | 228 Hammock Road, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Wilcox Fuel Inc | 1179 Boston Post Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Thomas L Elliott | 274 Chittemden Hill Rd, Westbrook, CT 06498 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica L Fernandes | 21 Pepperidge Ave, Westbrook, CT 06498 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jeanne Ross | 2 Lake Louise Drive, Westbrook, CT 06498 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Carol L Casserino | 331 Seaside Avenue, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06498 | |||
| City | WESTBROOK |
| Zip Code | 06498 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy R.b. Nelson | 85 Seymour St, Hartford, CT 06106-5501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jonathan L Nelson Md | 33 Cedar St Ste 6, Rye, NY 10580-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nelson Seen Md | 31 Fenwick Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1996-02-28 |
| Nelson Meaker Pa-c | 359 Winchester Rd, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2007-05-09 ~ 2008-02-29 |
| Tashiba J Nelson | 60 Center St, Windsor, CT 06095-1402 | Controlled Substance Registration for Practitioner | ~ |
| Nelson I Reyes | 17 Howe St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nelson A Gelfman Md | 15 Hessian Dr, Ridgefield, CT 06877-2417 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Priyanka Jha Md | 525 Nelson Rising Ln Apt 917, San Francisco, CA 94158-2317 | Controlled Substance Registration for Practitioner | 2009-06-15 ~ 2011-02-28 |
| Melissa Nelson | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Michael A Nelson Md | 550 Prospect St Apt #8, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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| 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).