MICHAEL KELLY MD (Credential# 559879) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2007. The license expiration date date is July 31, 2008. The license status is INACTIVE.
MICHAEL KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042297. The credential type is physician/surgeon. The effective date is September 10, 2007. The expiration date is July 31, 2008. The business address is 84 Bishop St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | MICHAEL KELLY MD |
| Credential ID | 559879 |
| Credential Number | 1.042297 |
| Credential Type | Physician/Surgeon |
| Business Address |
84 Bishop St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-04-07 |
| Effective Date | 2007-09-10 |
| Expiration Date | 2008-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 373136 | CSP.0035042 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-23 | 2007-04-12 - 2008-02-29 | INACTIVE |
| Street Address | 84 BISHOP ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin E Kelly Aprn | 84 Bishop St, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2007-06-01 ~ 2008-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
| Kelly A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Vincent Kelly | 11 E 87th St Ste 1b, New York, NY 10128-0528 | Physician/surgeon | ~ |
| Kelly L Dodge Md | 88 Harborside Dr, Milford, CT 06460-4825 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| John J. Kelly | 1618 8 1/2 Ave Se, Rochester, MN 55904-5407 | Physician/surgeon | 1970-10-13 ~ 1977-09-30 |
| Kelly Olino | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).