KELLY C BARKER (Credential# 742482) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 21, 1998. The license expiration date date is August 31, 1999. The license status is INACTIVE.
KELLY C BARKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000733. The credential type is physician assistant. The effective date is September 21, 1998. The expiration date is August 31, 1999. The business address is 5700 Spring Oak Dr, Los Angeles, CA 90068. The current status is inactive.
| Licensee Name | KELLY C BARKER |
| Credential ID | 742482 |
| Credential Number | 23.000733 |
| Credential Type | Physician Assistant |
| Business Address |
5700 Spring Oak Dr Los Angeles CA 90068 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-03-06 |
| Effective Date | 1998-09-21 |
| Expiration Date | 1999-08-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 5700 SPRING OAK DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Children of The Night | 3450 Cahuenga Blvd W, Los Angeles, CA 90068 | Public Charity | 2019-12-27 ~ 2020-11-30 |
| Kimino Drinks, Inc. | 1999 N. Sycamore Avenue, Los Angeles, CA 90068 | Securities - Exemptions | 2019-10-17 ~ |
| Jeffery M Rykhus | 2062 Vine St. #1, Los Angeles, CA 90068 | Massage Therapist | 2010-08-01 ~ 2012-07-31 |
| Marshall S Tuck | 6345 Bryn Mawr, Los Angeles, CA 90068 | Physician/surgeon | 1981-01-01 ~ 1984-02-29 |
| Andrew R Weiss | 2731 Outpost Drive, Los Angeles, CA 90068 | Hairdresser/cosmetician | 2000-02-28 ~ 2001-04-30 |
| Mark A Vangorder | 3565 Multiview Drive, Los Angeles, LA 90068 | Physician/surgeon | 1998-01-29 ~ 1999-01-31 |
| Edward J Berinstein | 6708 Hillpark Dr #302, Hollywood, CA 90068 | Pharmacist | 1999-02-01 ~ 2000-01-31 |
| Tanya Elgourt | 6740 Hillpark Dr #403, Los Angeles, CA 90068 | Pharmacist | ~ |
| Will Rogers Motion Picture Pioneers Foundation | 6767 Forest Lawn Dr Ste 303, Los Angeles, CA 90068-1052 | Public Charity | 2020-02-29 ~ 2021-02-28 |
| Karen Wilkerson | 3640 Barham Blvd # 107, Los Angeles, CA 90068-1292 | Registered Nurse - Temporary | 2013-11-19 ~ 2014-03-18 |
| Find all Licenses in zip 90068 | |||
| City | LOS ANGELES |
| Zip Code | 90068 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + LOS ANGELES |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kelly C Lindquist | 4 Queens Peak Rd., Canton, CT 06019 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Kelly B Cantu | 28 Huntingridge Dr, South Glastonbury, CT 06073-3612 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Martin J Kelly | 42 Joshua Lane, Coventry, CT 06238 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kelly M Pfau | 22 Broad Hill Cir, Guilford, CT 06437-1722 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Stephanie H Kelly | 60 Larkspur Road, Fairfield, CT 06430 | Physician Assistant | 2000-10-24 ~ 2001-10-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly Nguyen | 134 Wakefield Cir, East Hartford, CT 06118-1632 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KELLY C BARKER.
| 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).