BARRY R KELLER (Credential# 541506) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.
BARRY R KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015498. The credential type is physician/surgeon. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 385 Temple St, New Haven, CT 06511-6801. The current status is inactive.
Licensee Name | BARRY R KELLER |
Credential ID | 541506 |
Credential Number | 1.015498 |
Credential Type | Physician/Surgeon |
Business Address |
385 Temple St New Haven CT 06511-6801 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1972-03-22 |
Effective Date | 2013-09-01 |
Expiration Date | 2014-08-31 |
Refresh Date | 2014-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
145168 | CSP.0007637 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 385 Temple St |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-6801 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William H Sledge | 381 Temple St, New Haven, CT 06511-6801 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Dwight Johnson Painting & Restoration LLC | 401 Temple St, New Haven, CT 06511-6801 | Home Improvement Contractor | 2011-03-31 ~ 2011-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank Lee | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | Physician/surgeon | ~ |
Kathy A Keller | 719 Alvarado Row, Stanford, CA 94305-1037 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
Andrew M Keller | 10 Island Dr, Norwalk, CT 06855-2703 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Seth I Keller | 439 Edgewood Ave, New Haven, CT 06511 | Physician/surgeon | 2002-07-01 ~ 2003-07-31 |
David J Keller | 4 Deer Run, Mendon, VT 05701 | Physician/surgeon | 1969-08-15 ~ 1987-02-28 |
Norman W Keller | 22 Angus Lane, Greenwich, CT 06831 | Physician/surgeon | 2008-05-15 ~ 2009-07-31 |
Andrew J Keller | 909 Winstead St, Great Falls, VA 22066 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
Marc S Keller Md | Yale Univ School of Med, New Haven, CT 06510 | Physician/surgeon | 2000-04-27 ~ 2001-06-30 |
Teresa J Pfaff-amesse | C/o Michael Keller, New Haven, CT 06512 | Physician/surgeon | 1996-03-11 ~ 1997-04-30 |
Geetha R Swamy Iyah Md | 1009 Woodford Drive, Keller, TX 76248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).