BARBARA A KELLY MD (Credential# 275405) 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.
BARBARA A KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030741. 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 6 Stonewood Dr, Old Lyme, CT 06371. The current status is active.
| Licensee Name | BARBARA A KELLY MD |
| Credential ID | 275405 |
| Credential Number | CSP.0030741 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Stonewood Dr Old Lyme CT 06371 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-04-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551944 | 1.034346 | Physician/Surgeon | 1995-03-24 | 2019-04-01 - 2020-03-31 | ACTIVE |
| Street Address | 6 STONEWOOD DR |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Gullotta | Po Box 465, Brownsville, VT 05037-0465 | Controlled Substance Registration for Practitioner | 2020-04-09 ~ 2021-02-28 |
| Kelly M Ferjentsik | 34 Little Fox Ln, Monroe, CT 06468-1607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly J Way | 34 B Springbrook Rd, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Deforest | 267 Rte 87, Columbia, CT 06237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M. Doran Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly Weikert | 47 Avonwood Rd Apt 218, Avon, CT 06001-2015 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly A Martens Pa | 492 Shore Dr, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly B Fedoriw Md | 756 Quinnipiac Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kelly S Sullivan | 500 Albany Ave, Hartford, CT 06120-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Syed S A Hasni Md | 24 Kelly Dr, Marlton, NJ 08053-9701 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BARBARA A KELLY MD.
| 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).