EDWARD KELMENSON (Credential# 560527) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 18, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
EDWARD KELMENSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042945. The credential type is physician/surgeon. The effective date is November 18, 2004. The expiration date is April 30, 2005. The business address is 142 Brothers Ct, Port Matilda, PA 16870-7134. The current status is inactive.
| Licensee Name | EDWARD KELMENSON |
| Credential ID | 560527 |
| Credential Number | 1.042945 |
| Credential Type | Physician/Surgeon |
| Business Address |
142 Brothers Ct Port Matilda PA 16870-7134 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-11-18 |
| Effective Date | 2004-11-18 |
| Expiration Date | 2005-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 142 BROTHERS CT |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870-7134 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie Mcdougall | 176 Brothers Court, Port Matilda, PA 16870 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| M Kevin Parfitt | 105 Sellers Ln, Port Matilda, PA 16870 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Judith E Pitman | 406 E Springwood Pl, Port Matilda, PA 16870 | Registered Nurse | 1994-03-30 ~ 1995-03-31 |
| Linda J Keisling | 218 N. Springwood Place, Port Matilda, PA 16870-7025 | Registered Nurse | 2003-01-23 ~ 2004-03-31 |
| Gary J Golaszewski | 383 Pantops Parade, Port Matilda, PA 16870-7041 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jennifer M Connell · Murray | 118 Heiskel Dr, Port Matilda, PA 16870-7102 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Angel M Alvarado | 5603 W Buffalo Run Rd, Port Matilda, PA 16870-7607 | Tv & Radio Limited Dish Antenna Technician | 2010-09-01 ~ 2011-08-31 |
| J Michael Evanko | 90 Buffalo Ln, Port Matilda, PA 16870-8333 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| City | PORT MATILDA |
| Zip Code | 16870 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORT MATILDA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin D Kelmenson | Blue Cross/shield Mi, Southfield, MI 48034 | Physician/surgeon | 1997-07-21 ~ 1998-08-31 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Emily Chin Do | 245 Edward J Roy Dr Apt 104, Manchester, NH 03104 | Physician/surgeon | 2004-03-12 ~ 2005-03-31 |
| Edward K.s. Chien Md | 710 Jefferson Ave #328, Cleveland, OH 44113 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Edward Carew | Carenow Corporate, Coppell, TX 75019 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on EDWARD KELMENSON.
| 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).