KELLY A BENNETT (Credential# 554197) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2002. The license expiration date date is June 30, 2003. The license status is INACTIVE.
KELLY A BENNETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036606. The credential type is physician/surgeon. The effective date is May 6, 2002. The expiration date is June 30, 2003. The business address is U.t. Medical Group, Memphis, TN 38163. The current status is inactive.
| Licensee Name | KELLY A BENNETT |
| Credential ID | 554197 |
| Credential Number | 1.036606 |
| Credential Type | Physician/Surgeon |
| Business Address |
U.t. Medical Group Memphis TN 38163 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-01-30 |
| Effective Date | 2002-05-06 |
| Expiration Date | 2003-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | U.T. MEDICAL GROUP |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherif Nasef Md | Po Box 63135, Memphis, TN 38163 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorraine Civil Rights Museum Foundation · National Civil Rights Museum | 450 Mulberry St, Memphis, TN 38103-4214 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| American Lebanese Syrian Associated Charities Inc | 501 Saint Jude Pl, Memphis, TN 38105-1905 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kappa Delta Foundation Incorporated (the) | 3205 Players Ln, Memphis, TN 38125-8897 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| David L Montague | 1661 International Drive, Suite 482, Memphis, TN 38120 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| Smith & Nephew Inc | 1450 Brooks Rd, Memphis, TN 38116 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| A1 Diabetes & Medical Supply Inc | 1785 Nonconnah Blvd Ste 107b, Memphis, TN 38132-2140 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Script2u LLC | 4971 Southridge Blvd Ste 115, Memphis, TN 38141-8300 | Nonresident Pharmacy | 2020-06-22 ~ 2021-08-31 |
| Supplies Distributors Inc | 4638 E Shelby Dr, Memphis, TN 38118-7424 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Bradly D. Clark | 3495 Hacks Cross, Memphis, TN 38125 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey Jude Roux | 3495 Hacks Cross Rd, Memphis, TN 38125 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in MEMPHIS | |||
| City | MEMPHIS |
| Zip Code | 38163 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MEMPHIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven J Bennett Do | 13 Cos Cob Ave Unit A, Cos Cob, CT 06807-2116 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Matthew Bennett Ostrowitz | 5 Montebello Rd, Suffern, NY 10901 | Physician/surgeon | ~ |
| Sumeet Goswami | 153 Bennett Ave, Apt 1e, New York, NY 10040 | Physician/surgeon | 2001-08-29 ~ 2002-07-31 |
| Gomes S Arantes | 105 Bennett Ave, New York, NY 10033 | Physician/surgeon | 1992-04-24 ~ 1992-12-31 |
| Bennett L Rosner Md | 5 Worden Point Rd, Sherman, CT 06784 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| William L Bennett | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bennett S Goss Md | 106 Old Mill Road, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael H Bar | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Alcuin D Bennett | 26890 Thompson Rd, Perrysburg, OH 43551 | Physician/surgeon | 1995-05-26 ~ 1996-05-31 |
| Nicholas J Bennett Md | 10 Ruthies Ln, West Simsbury, CT 06092 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on KELLY A BENNETT.
| 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).