KELLY M PFAU (Credential# 742705) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
KELLY M PFAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000956. The credential type is physician assistant. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 22 Broad Hill Cir, Guilford, CT 06437-1722. The current status is inactive.
| Licensee Name | KELLY M PFAU |
| Credential ID | 742705 |
| Credential Number | 23.000956 |
| Credential Type | Physician Assistant |
| Business Address |
22 Broad Hill Cir Guilford CT 06437-1722 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-05-04 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 227329 | CSP.0029149 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 22 BROAD HILL CIR |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-1722 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Pfau | 22 Broad Hill Cir, Guilford, CT 06437-1722 | Emergency Medical Technician | 2015-03-23 ~ 2018-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Sagnella Aprn | 7 Broad Hill Cir, Guilford, CT 06437-1722 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Samantha J Obuck | 10 Broad Hill Cir, Guilford, CT 06437-1722 | Pharmacy Technician | 2015-08-20 ~ 2016-03-31 |
| Henry S Puciato | 7 Broad Hill Cir, Guilford, CT 06437-1722 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Pfau Md | 22 Broad Hill Circle, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| 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 Rainey | 19 Bittersweet Lane, Ivoryton, CT 06442 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Meaghan Kelly Roberts | 390 1st Avenue, New York, NY 10010 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
| Kelly B Cantu | 28 Huntingridge Dr, South Glastonbury, CT 06073-3612 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kelly C Lindquist | 4 Queens Peak Rd., Canton, CT 06019 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Kelly C Barker | 5700 Spring Oak Dr, Los Angeles, CA 90068 | Physician Assistant | 1998-09-21 ~ 1999-08-31 |
| Kelly A Christman | 29 Peepers Holw, Greenwich, CT 06831-3225 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Martin J Kelly | 42 Joshua Lane, Coventry, CT 06238 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).