SUSAN L KELLEY (Credential# 546172) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SUSAN L KELLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026758. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 24 Dales Drive, Woodbridge, CT 06525. The current status is active.
| Licensee Name | SUSAN L KELLEY |
| Credential ID | 546172 |
| Credential Number | 1.026758 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 Dales Drive Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-08-30 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155805 | CSP.0013656 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 24 Dales Drive |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toya H Kelley | 415 Ripsaw Ct, Grovetown, GA 30813-5922 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| John R Kelley | 102 Highland Ave Se, Roanoke, VA 24013 | Physician/surgeon | 1993-01-25 ~ 1993-12-31 |
| Mariann Kelley | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David R Tuller | 53 Kelley Road, Red Hook, NY 12571 | Physician/surgeon | 2000-06-13 ~ 2001-06-30 |
| Laurence R Kelley | 3244 Glenside Dr, Lafayette, CA 94549 | Physician/surgeon | 1989-04-25 ~ 1995-05-31 |
| E Lynne Kelley Md | 333 Cedar St Fmb #137-po Box 208062, New Haven, CT 06510 | Physician/surgeon | 2004-02-02 ~ 2005-02-28 |
| Kelley T Watson Md | 120 Meadowbrook Drive, Greenwood, SC 29649 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Mary Ann Stettmeier | 50 Dan Kelley Drive, Alton Bay, NH 03810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kelley Wear-maggitti Md | 175 Conestoga St, Windsor, CT 06095 | Physician/surgeon | 2004-04-13 ~ 2005-05-31 |
| Elizabeth N Kelley | 1615 Valley Run, Durham, NC 27707-3669 | Physician/surgeon | 1987-06-19 ~ 1988-06-30 |
Please comment or provide details below to improve the information on SUSAN L KELLEY.
| 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).