KELLY J DAWSON MD (Credential# 555394) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2000. The license expiration date date is June 30, 2001. The license status is INACTIVE.
KELLY J DAWSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037804. The credential type is physician/surgeon. The effective date is June 29, 2000. The expiration date is June 30, 2001. The business address is 20 Club Lane, Cheshire, CT 06410. The current status is inactive.
Licensee Name | KELLY J DAWSON MD |
Credential ID | 555394 |
Credential Number | 1.037804 |
Credential Type | Physician/Surgeon |
Business Address |
20 Club Lane Cheshire CT 06410 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-06-04 |
Effective Date | 2000-06-29 |
Expiration Date | 2001-06-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
216573 | CSP.0028465 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | 20 CLUB LANE |
City | CHESHIRE |
State | CT |
Zip Code | 06410 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daryl W Westerback Md | 20 Club Lane, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Genevieve B St John | 20 Club Lane, Cheshire, CT 06410 | Notary Public Appointment | 1986-01-29 ~ 1991-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Grant A Dawson | 54 Hazard Ave # 183, Enfield, CT 06082-3845 | Physician/surgeon | ~ |
Edward A Mascioli | 63 Dawson Drive, Needham, MA 02192 | Physician/surgeon | 1993-04-23 ~ 1994-05-31 |
Latesha Inez Dawson Thomas | 111 Hang Dog Ln, Wethersfield, CT 06109 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Lanita Monae Dawson-jones | 3340 Peachtree Rd. Ne, Ste. 2025, Atlanta, GA 30326 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Dawson Construction | 500 South Main St, Cheshire, CT 06410 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
Wright-dawson Co | 543 Jarvis St, Cheshire, CT 06410 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
Kelly Maureen Dillman | 342 E 110th St Apt 5d, New York, NY 10029-7088 | Physician/surgeon | ~ |
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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).