DIANE B KECKLEY PA
Physician Assistant


Address: 4 Dairy Lane, Cromwell, CT 06416

DIANE B KECKLEY PA (Credential# 742816) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

DIANE B KECKLEY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001067. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Dairy Lane, Cromwell, CT 06416. The current status is active.

Basic Information

Licensee Name DIANE B KECKLEY PA
Credential ID 742816
Credential Number 23.001067
Credential Type Physician Assistant
Business Address 4 Dairy Lane
Cromwell
CT 06416
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-03-15
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-18

Other licenses

ID Credential Code Credential Type Issue Term Status
275413 CSP.0030745 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-04-24 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 4 DAIRY LANE
City CROMWELL
State CT
Zip Code 06416

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
W Dale Keckley 4 Dairy Lane, Cromwell, CT 06416 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marcia B Henehan 17 Crest Drive, Cromwell, CT 06416 Physical Therapist 2020-07-01 ~ 2021-06-30
Sarah C Smith 6 Court Street, Cromwell, CT 06416 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Joyce Tayeh 5 Sunridge Lane, Cromwell, CT 06416 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Todd J Farris 53 Lincoln Road, Cromwell, CT 06416 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Tiffany N Winkler 50 Fawn Run, Cromwell, CT 06416 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Hasim J Shah 131 Coles Rd, Cromwell, CT 06416 Pharmacy Technician 2020-06-23 ~ 2021-03-31
Michelle R Berube 17 Arrowwood Dr, Cromwell, CT 06416 Registered Nurse 2020-08-01 ~ 2021-07-31
Joy Mekrut-suzio 352 Main Street, Cromwell, CT 06416 Speech and Language Pathologist 2020-09-01 ~ 2021-08-31
Gina M Branciforte 24 Bellaire Manor, Cromwell, CT 06416 Registered Nurse 2020-07-01 ~ 2021-06-30
Kimberly A Benson 10 Springdale Road, Cromwell, CT 06416 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06416

Competitor

Search similar business entities

City CROMWELL
Zip Code 06416
License Type Physician Assistant
License Type + County Physician Assistant + CROMWELL

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Diane M Barnes Pa 31 Seymour St Ste 100, Hartford, CT 06106-5521 Physician Assistant 2020-05-01 ~ 2021-04-30
Diane St. Pierre 22-7 Hudson St, Bethel, CT 06801-2031 Physician Assistant 2020-02-01 ~ 2021-01-31
Diane R Levien 138 Cedar Rd, Wilton, CT 06897-3631 Physician Assistant 2019-11-01 ~ 2020-10-31
Diane M Brown Pa 3259 Hone Ave, Bronx, NY 10469 Physician Assistant 2006-08-31 ~ 2007-08-31
Hilary Diane Sugar 103 Fairview Avenue, Boonton, NJ 07005 Physician Assistant ~
Diane C Erianne Pa 10 Kimberly Lane, Watertown, CT 06795 Physician Assistant 2012-05-01 ~ 2013-04-30
Diane Miller 217 Kelzie Peeler Rd., Murray, KY 42071 Physician Assistant 2010-11-01 ~ 2011-10-31
Diane R Johnson Pa 5841 Route 112, Halifax, VT 05358 Physician Assistant 2008-11-17 ~ 2009-11-30
W Dale Keckley 4 Dairy Lane, Cromwell, CT 06416 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Physician Assistant Foundation of The American Academy of Physician Assistants 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 Public Charity 2019-12-01 ~ 2020-11-30

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Dataset Information

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).

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