MARY M KELLEY (Credential# 742331) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 15, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
MARY M KELLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000582. The credential type is physician assistant. The effective date is March 15, 2000. The expiration date is May 31, 2001. The business address is 25 Chestnut St, Rockville, CT 06066. The current status is inactive.
Licensee Name | MARY M KELLEY |
Credential ID | 742331 |
Credential Number | 23.000582 |
Credential Type | Physician Assistant |
Business Address |
25 Chestnut St Rockville CT 06066 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-06-21 |
Effective Date | 2000-03-15 |
Expiration Date | 2001-05-31 |
Refresh Date | 2009-07-08 |
Street Address | 25 CHESTNUT ST |
City | ROCKVILLE |
State | CT |
Zip Code | 06066 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Teodoro A Drake | 25 Chestnut St, Rockville, CT 06066 | Real Estate Salesperson | 2007-09-05 ~ 2008-05-31 |
Mary M Kelley Pa | 25 Chestnut St, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06066 |
City | ROCKVILLE |
Zip Code | 06066 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + ROCKVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy C Kelley | 24 Bayberry Ln, Redding, CT 06896-1828 | Physician Assistant | 2015-03-31 ~ 2015-11-30 |
Kelley L Lawton | 20 Byron Dr, Granby, CT 06035-2521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Taylor Bartini Kelley | 35 Jolley Dr Ste 301, Bloomfield, CT 06002-4228 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Jennifer M Jones | 5656 Kelley St, Houston, TX 77026-1967 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
Mary Ann Stettmeier | 50 Dan Kelley Drive, Alton Bay, NH 03810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
Mary B Mcchrystal Pa | 419 Fountain St, New Haven, CT 06515 | Physician Assistant | 2003-05-02 ~ 2004-06-30 |
Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
Please comment or provide details below to improve the information on MARY M KELLEY.
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).