KATHY A KELLER (Credential# 938404) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.
KATHY A KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048997. The credential type is physician/surgeon. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 719 Alvarado Row, Stanford, CA 94305-1037. The current status is inactive.
| Licensee Name | KATHY A KELLER |
| Credential ID | 938404 |
| Credential Number | 1.048997 |
| Credential Type | Physician/Surgeon |
| Business Address |
719 Alvarado Row Stanford CA 94305-1037 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-07-19 |
| Effective Date | 2013-02-01 |
| Expiration Date | 2014-01-31 |
| Refresh Date | 2014-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 946421 | CSP.0048407 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 719 ALVARADO ROW |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-1037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Viralspace, Inc. | 680 Serra St, Stanford, CA 94305 | Securities - Exemptions | 2020-04-03 ~ |
| Nitricity Inc. | 6 Comstock Circle, Apt 418b, Stanford, CA 94305 | Securities - Exemptions | 2020-04-01 ~ |
| Tulio A Valdez Md | 801 Welch Road, Palo Alto, CA 94305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danielle Samantha Baker | 730 Serra St Apt 808, Stanford, CA 94305-7223 | Speech and Language Pathologist | 2018-06-05 ~ 2019-02-28 |
| Julie B Mello | 12 Comstock Cir Apt 108, Stanford, CA 94305-7654 | Physical Therapist | 2012-05-01 ~ 2013-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christian J Apon | 118 Seaton Rd, Stanford, CT 06810 | Notary Public Appointment | 1977-12-01 ~ 1982-03-31 |
| Anthony D Dixon · Dixon Flooring | 800 Hope St Unit 3-c, Stanford, CT 06907 | Home Improvement Contractor | 2001-04-04 ~ 2001-11-30 |
| Marcia J Foti | Po Box 14497, Stanford, CA 94309-4497 | Emergency Medical Technician | 2011-11-21 ~ 2014-07-01 |
| Nina E Wesley | 295 Maywood Circle, Stanford, KY 40484 | Emergency Medical Technician | 2008-12-31 ~ 2010-10-01 |
| Ugo Paolucci | 1111 Summer Street, Stanford, CT 06905 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Emily J Wolpiuk | 114 Morgan Street, Stanford, CT 06905 | Controlled Substance Registration for Practitioner | 2017-08-09 ~ 2019-02-28 |
| Victor Miranda | 44 North Street, Stanford, CT 06902 | Home Improvement Contractor | 2000-10-11 ~ 2001-11-30 |
| City | STANFORD |
| Zip Code | 94305 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Keller | 4 Deer Run, Mendon, VT 05701 | Physician/surgeon | 1969-08-15 ~ 1987-02-28 |
| Frank Lee | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | Physician/surgeon | ~ |
| Seth I Keller | 439 Edgewood Ave, New Haven, CT 06511 | Physician/surgeon | 2002-07-01 ~ 2003-07-31 |
| Barry R Keller | 385 Temple St, New Haven, CT 06511-6801 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Andrew M Keller | 10 Island Dr, Norwalk, CT 06855-2703 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew J Keller | 909 Winstead St, Great Falls, VA 22066 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
| Norman W Keller | 22 Angus Lane, Greenwich, CT 06831 | Physician/surgeon | 2008-05-15 ~ 2009-07-31 |
| Teresa J Pfaff-amesse | C/o Michael Keller, New Haven, CT 06512 | Physician/surgeon | 1996-03-11 ~ 1997-04-30 |
| Marc S Keller Md | Yale Univ School of Med, New Haven, CT 06510 | Physician/surgeon | 2000-04-27 ~ 2001-06-30 |
| Geetha R Swamy Iyah Md | 1009 Woodford Drive, Keller, TX 76248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KATHY A KELLER.
| 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).