SCOTT KEILTY DMD (Credential# 702038) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SCOTT KEILTY DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007500. The credential type is dentist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 17 Michelle Ln, Mystic, CT 06355-1956. The current status is active.
Licensee Name | SCOTT KEILTY DMD |
Credential ID | 702038 |
Credential Number | 2.007500 |
Credential Type | Dentist |
Business Address |
17 Michelle Ln Mystic CT 06355-1956 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1989-07-08 |
Effective Date | 2019-09-01 |
Expiration Date | 2020-08-31 |
Refresh Date | 2019-07-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159837 | CSP.0017368 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 17 MICHELLE LN |
City | MYSTIC |
State | CT |
Zip Code | 06355-1956 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Valerie J Gilman | 23 Michelle Ln, Mystic, CT 06355-1956 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
Hem Dave | 21 Michelle Ln, Mystic, CT 06355-1956 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06355 |
City | MYSTIC |
Zip Code | 06355 |
License Type | Dentist |
License Type + County | Dentist + MYSTIC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aiden T Keilty · Keilty's Depot | 350 Ashley Falls Road, Canaan, CT 06018 | Caterer | 2003-11-16 ~ 2004-11-15 |
Patricia K Keilty · Keilty | 38 N Main St Apt 16, Essex, CT 06426-1080 | Radiographer | 2020-04-01 ~ 2021-03-31 |
Ray Scott Smith | 115 Elm St, Enfield, CT 06082-3712 | Dentist | 2019-08-01 ~ 2020-07-31 |
Scott Bialik Dds | 246 Federal Rd, Brookfield, CT 06804 | Dentist | 2020-05-01 ~ 2021-04-30 |
Hubert R Scott | 66 Dwight Rd, Longmeadow, MA 01106-1889 | Dentist | 2020-08-01 ~ 2021-07-31 |
Scott W Rogers | 351 Manville Rd, Pleasantville, NY 10570 | Dentist | 2005-04-04 ~ 2006-04-30 |
Scott Tillman | 32 Glenwood Rd, Plainview, NY 11803 | Dentist | 1999-05-06 ~ 2000-04-30 |
Scott R Fisher | 4 Dearfield Dr, Greenwich, CT 06831 | Dentist | 2020-03-01 ~ 2021-02-28 |
Jason Scott | 3229 Traver Dr, Broomfield, CO 80023-4648 | Dentist | ~ |
Patrick J Keilty | 114 Weekeepeemee Rd, Bethlehem, CT 06751-1913 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
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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).