KEVIN J MULROY DO (Credential# 558770) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
KEVIN J MULROY DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041187-DO. The credential type is physician/surgeon. The effective date is May 24, 2005. The expiration date is June 30, 2006. The business address is Gaylord Farm Rd, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | KEVIN J MULROY DO |
| Credential ID | 558770 |
| Credential Number | 1.041187-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
Gaylord Farm Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-03-04 |
| Effective Date | 2005-05-24 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335298 | CSP.0033349 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | GAYLORD FARM RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger P Blouin | Gaylord Farm Rd, Wallingford, CT 06492 | Pharmacy Technician | 2013-04-01 ~ 2014-03-31 |
| Mark W Kemp | Gaylord Farm Rd, Wallingford, CT 06492 | Physical Therapist Assistant | ~ 2006-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William F. Mulroy | 40 Byron Rd, Weston, MA 02493-2229 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Kevin W Dickey Md | Po Box 217, New Britain, CT 06050-0217 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Kevin L Soe | 26 Jasmine Dr, Middletown, NY 10940-5046 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Kevin J Tally | 16 Rip Rd, Hanover, NH 03755-1614 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin Y Pei | Po Box 208062, New Haven, CT 06520 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Kevin P Becker | 37 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kevin D Miller Md | 195 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kevin D Wolter | Pfizer, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin J Reagan Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kevin R Dougherty | 85 Seymour St Ste 719, Hartford, CT 06106-5526 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).