WILLIAM K KELLY DO (Credential# 404084) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
WILLIAM K KELLY DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037414. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 834 Chestnut Street, Philadelphia, PA 19107. The current status is inactive.
| Licensee Name | WILLIAM K KELLY DO |
| Credential ID | 404084 |
| Credential Number | CSP.0037414 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
834 Chestnut Street Philadelphia PA 19107 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-06-10 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561004 | 1.043422-DO | Physician/Surgeon | 2005-05-10 | 2010-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 834 Chestnut Street |
| City | Philadelphia |
| State | PA |
| Zip Code | 19107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Wyper | 1232 Chancellor St, Philadelphia, PA 19107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Andrea Child Wilkins | 1 South Penn Square Suite 960, Philadelphia, PA 19107 | Genetic Counselor | 2020-07-01 ~ 2021-06-30 |
| Friends Publishing Corporation | 1216 Arch Street, Philadelphia, PA 19107 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Masonic Library and Museum of Pennsylvania | One North Broad Street, Philadelphia, PA 19107 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Anjali Khurana | 834 Chestnut St., Philadelphia, PA 19107 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gabrielle Einstein Morrow | 1020 Sansom Street, Philadelphia, PA 19107 | Controlled Substance Registration for Practitioner | 2019-02-21 ~ 2021-02-28 |
| Susan Leib Md | Society Hill Pediatrics, Philadelphia, PA 19107 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Henry K Siu Md | 1100 Vine Street Apt 919, Philadelphia, PA 19107 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nicolas Kuritzky | 1011 Chestnut, Philadelphia, PA 19107 | Physician/surgeon | 2009-04-21 ~ 2010-04-30 |
| Anan Al-faqih Md | 950 Walnut St #712, Philadelphia, PA 19107 | Physician/surgeon | 1998-10-26 ~ 1999-10-31 |
| Find all Licenses in zip 19107 | |||
| City | Philadelphia |
| Zip Code | 19107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Philadelphia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Donovan Md | William W Backus Hospital, Norwich, CT 06360 | 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 J Way | 34 B Springbrook Rd, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 M Deforest | 267 Rte 87, Columbia, CT 06237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly E Baxter | 96 W Shannock Rd, Richmond, RI 02812-1145 | Controlled Substance Registration for Practitioner | 2020-02-24 ~ 2021-02-28 |
| Kelly A Heilman | 33 Alfred Dr, Tolland, CT 06084-3140 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Kelly | 73 Eastlawn St, Fairfield, CT 06824-6417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul R Kelly D.o. | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on WILLIAM K KELLY DO.
| 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).