KELLEY WEAR-MAGGITTI MD
Physician/surgeon


Address: 175 Conestoga St, Windsor, CT 06095

KELLEY WEAR-MAGGITTI MD (Credential# 559176) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.

Business Overview

KELLEY WEAR-MAGGITTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041593. The credential type is physician/surgeon. The effective date is April 13, 2004. The expiration date is May 31, 2005. The business address is 175 Conestoga St, Windsor, CT 06095. The current status is inactive.

Basic Information

Licensee Name KELLEY WEAR-MAGGITTI MD
Credential ID 559176
Credential Number 1.041593
Credential Type Physician/Surgeon
Business Address 175 Conestoga St
Windsor
CT 06095
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-06-26
Effective Date 2004-04-13
Expiration Date 2005-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
352474 CSP.0034144 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 175 CONESTOGA ST
City WINDSOR
State CT
Zip Code 06095

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Michael Henry 175 Conestoga St, Windsor, CT 06095-2201 Emergency Medical Responder 2013-09-18 ~ 2019-09-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cherene M Scott 123 Clover St, Windsor, CT 06095 Radiographer 2020-07-01 ~ 2021-06-30
Marianne Lauri 9 Mohawk Circle, Windsor, CT 06095 Registered Nurse 2020-09-01 ~ 2021-08-31
Elaine R Birthwright Rowe 71 Ford Road, Windsor, CT 06095 Real Estate Salesperson ~
Annmarie Blair-atkinson 19 Hope Circle, Windsor, CT 06095 Medication Administration Certification 2020-05-23 ~ 2022-05-22
Cristina Valente 39 Lochview Dr, Windsor, CT 06095 Master's Level Social Worker 2020-07-01 ~ 2021-06-30
Bridget C Tran 500 Huckleberry Rd, Windsor, CT 06095 Public Weigher 2020-07-01 ~ 2021-06-30
Kelli Price 15 Berrios Hill Road, Windsor, CT 06095 Professional Counselor 2020-09-01 ~ 2021-08-31
Yalanda Squirewell 217 Willowcrest Drive, Windsor, CT 06095 Real Estate Salesperson ~
Omason O Modeste 30 Lepage Rd, Windsor, CT 06095 Emergency Medical Technician 2017-04-06 ~ 2020-06-30
Mark E Allen 372 Broad St, Windsor, CT 06095 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City WINDSOR
Zip Code 06095
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WINDSOR

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Dataset Information

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).

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