KRISTOPHER KELLY (Credential# 2055985) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 21, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KRISTOPHER KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066227-RES. The credential type is resident physician. The effective date is June 21, 2020. The expiration date is June 30, 2021. The business address is 64 Robbis Street Rm 3304, Waterbury, CT 06708. The current status is active.
| Licensee Name | KRISTOPHER KELLY |
| Credential ID | 2055985 |
| Credential Number | 1.066227-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
64 Robbis Street Rm 3304 Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-21 |
| Effective Date | 2020-06-21 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-16 |
| Street Address | 64 Robbis Street rm 3304 |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tijana Samardzic | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2023-06-30 |
| Michelle Melo | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2023-06-30 |
| Jamie Hu-daniele | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Sherley Demetrius | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Sally Ratliff | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Murrium Sadaf | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Kanza Haq | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Fancisco Rincon | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Bemen Habashi | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Sarah P Mattessich | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-07-10 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Garcia | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kelly A Mcgonigle | 44 Mayfair Dr, Pittsburgh, PA 15228-1104 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kelly Donovan | 130 Division St, Derby, CT 06418 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Kelly Benabou | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kelly A Joseph | 7 S View Terrace, Old Saybrook, CT 06475 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kelly Mcginnis Hager | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kelly E Fellows | 66 Glenbrook Rd Apt 4213, Stamford, CT 06902-8406 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Erin Kelly Flynn | 750 Whitney Ave, New Haven, CT 06511 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Kristopher J Kelly | 19 Britton Ln, Madison, CT 06443-2921 | Home Improvement Salesperson | 2018-02-26 ~ 2018-11-30 |
| Kristopher J Kelly | 82 Jerome Rd Apt 237, Uncasville, CT 06382 | Plumbing & Piping Limited Journeyperson | 2010-11-01 ~ 2011-10-31 |
Please comment or provide details below to improve the information on KRISTOPHER KELLY.
| 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).