CAROLYN A KELLY
Controlled Substance Registration for Practitioner


Address: 3 Mountain Dr, New Milford, CT 06776-4725

CAROLYN A KELLY (Credential# 1224115) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CAROLYN A KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057213. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 3 Mountain Dr, New Milford, CT 06776-4725. The current status is active.

Basic Information

Licensee Name CAROLYN A KELLY
Credential ID 1224115
Credential Number CSP.0057213
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Mountain Dr
New Milford
CT 06776-4725
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-05-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1079772 10.107605 Registered Nurse 2012-08-13 2019-08-01 - 2020-07-31 ACTIVE
1128700 12.005298 Advanced Practice Registered Nurse 2013-02-20 2019-08-01 - 2020-07-31 ACTIVE
1153464 CSP.0054361 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-14 2013-03-14 - 2015-02-28 INACTIVE

Office Location

Street Address 3 MOUNTAIN DR
City NEW MILFORD
State CT
Zip Code 06776-4725

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Competitor

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City NEW MILFORD
Zip Code 06776
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW MILFORD

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Carolyn J Murray Md 12 Maple St, Hanover, NH 03755 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
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Carolyn Mize 927 Alan Dr, Wantagh, NY 11793-1041 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Carolyn Canonica Pa-c 475 Main St Apt 16p, New York, NY 10044-0095 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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