KELLY M MACKINNON (Credential# 1075005) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
KELLY M MACKINNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009412. The credential type is physical therapist. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 137a Vandenburgh Pl, Troy, NY 12180-6044. The current status is inactive.
| Licensee Name | KELLY M MACKINNON |
| Credential ID | 1075005 |
| Credential Number | 14.009412 |
| Credential Type | Physical Therapist |
| Business Address |
137a Vandenburgh Pl Troy NY 12180-6044 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-06-13 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| Street Address | 137A VANDENBURGH PL |
| City | TROY |
| State | NY |
| Zip Code | 12180-6044 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amie Lynn Brizzell | 1 Angelo Drive, Troy, NY 12180 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Theresa Anne Gallo | 4 Old Route 142, Troy, NY 12180 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amanda Courtney Kewley | 1503 Newbury Drive, Troy, NY 12180 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Daniel Francis Desmond | 46 Meadow Drive, Troy, NY 12180 | Tax Preparer/facilitator Permit | 2020-03-05 ~ 2022-03-31 |
| Anita Chu | Rensselaer Polytechnic Institute, Troy, NY 12180 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Wayne Edward Bonesteel | 259 Keefe Rd, Troy, NY 12180 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| David Burke | 1015 Madison Ave., Troy, NY 12180 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jessica Lynn Cagwin | 190 2nd Ave, Troy, NY 12180 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| James L Warren | Kw Mission Critical Engineering D.p.c., Troy, NY 12180 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jenna M Boudreau | 1523 Hampton Place Blvd, Troy, NY 12180 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 12180 | |||
| City | TROY |
| Zip Code | 12180 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + TROY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Ann Gankos | 21 Bragdon Ave, Danbury, CT 06811 | Physical Therapist | ~ |
| Jessie A Kelly | P.o. Box 601, Little Falls, NY 13365 | Physical Therapist | 2004-08-02 ~ 2005-08-31 |
| Kelly M Bennett | 25 Berkshire Rd, Ansonia, CT 06401-2448 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Kelly A Allen | 419 Griswold Rd, Wethersfield, CT 06109-3632 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Kelly Connors | 31 Haile St, Warren, RI 02885 | Physical Therapist Assistant | ~ |
| Kelly Elizabeth Grimes | 15 W 120th St Apt 5, New York, NY 10027-6374 | Physical Therapist | ~ |
| Susan S Kelly | 14 Katie Joe Ln, Branford, CT 06405-4761 | Physical Therapist | 2017-11-01 ~ 2018-10-31 |
| Brian J Kelly | 289 Three Mile Rd, Glastonbury, CT 06033-3834 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Kelly A Wilk | 197 Seaside Ave #3, Stamford, CT 06902 | Physical Therapist | 1997-01-29 ~ 1998-01-31 |
| Kelly L Buchsbaum | 117 Klothe Dr, Grahamsville, NY 12740-5805 | Physical Therapist | 2012-08-01 ~ 2013-07-31 |
Please comment or provide details below to improve the information on KELLY M MACKINNON.
| 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).