KELLY A LAST (Credential# 1307731) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
KELLY A LAST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010728. The credential type is physical therapist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 62 Great Circle Rd, West Haven, CT 06516-7133. The current status is active.
| Licensee Name | KELLY A LAST |
| Credential ID | 1307731 |
| Credential Number | 14.010728 |
| Credential Type | Physical Therapist |
| Business Address |
62 Great Circle Rd West Haven CT 06516-7133 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-04 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-09-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1307883 | 14.010672-TEMP | PT Temporary Permit | 2015-09-08 | 2015-09-08 - 2015-11-04 | INACTIVE |
| Street Address | 62 GREAT CIRCLE RD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-7133 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Rose Tighe | 86 Great Circle Rd, West Haven, CT 06516-7133 | Master's Level Social Worker - Temporary Permit | 2020-05-20 ~ 2020-09-13 |
| Scott M Golde | 120 Great Circle Rd, West Haven, CT 06516-7133 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Melissa R Tighe | 86 Great Circle Rd, West Haven, CT 06516-7133 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WEST HAVEN |
| 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 E Peterson | 25 Southwood Rd, Newington, CT 06111 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Matthew Kelly | 9 Hofstra Dr, Smithtown, NY 11787-2018 | Physical Therapist | 2019-08-01 ~ 2020-04-30 |
| Patricia A Kelly | Via Delle, Firenze, 50144 | Physical Therapist | 2005-01-28 ~ 2006-02-28 |
| Kelly M Marchetti | 849 Birchwood Dr, Orange, CT 06477-1347 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Kelly A Allen | 419 Griswold Rd, Wethersfield, CT 06109-3632 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Kelly A Wilk | 197 Seaside Ave #3, Stamford, CT 06902 | Physical Therapist | 1997-01-29 ~ 1998-01-31 |
| Brian J Kelly | 289 Three Mile Rd, Glastonbury, CT 06033-3834 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Kathryn M Kelly | 187 Blake St Apt 1, New Haven, CT 06515-1308 | Physical Therapist | 1984-11-29 ~ 1986-03-31 |
Please comment or provide details below to improve the information on KELLY A LAST.
| 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).