ANITA M KELSEY MD (Credential# 196916) 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 INACTIVE.
ANITA M KELSEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027065. 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 Ardsley Way, Simsbury, CT 06070. The current status is inactive.
| Licensee Name | ANITA M KELSEY MD |
| Credential ID | 196916 |
| Credential Number | CSP.0027065 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Ardsley Way Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551703 | 1.034104 | Physician/Surgeon | 1994-10-14 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 5 ARDSLEY WAY |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anita L Bourque Md | Po Box 217, New Britain, CT 06050-0217 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sepehr Sajjad Md | 84 Kelsey Pl, Madison, CT 06443-2800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelsey R Devoe | 46 Island Rd, Holland, MA 01521-2531 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelsey M Bestall | 3 Mccurdy Ct, Old Lyme, CT 06371-1628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelsey M Cameron | 210 Damascus Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelsey Leder | 790 Orange St Fl 3, New Haven, CT 06511-2535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelsey O Cole | 344 Bartlett Dr, Madison, CT 06443-1785 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita C Sabellico | 577 East St S, Suffield, CT 06078-2423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita Gade | 1 Hospital Plz, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Anita Kiehl | 866 Chamberlain, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 1994-11-15 ~ 1996-12-01 |
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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).