KELLY ZOOK (Credential# 1310205) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.
KELLY ZOOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054759. The credential type is physician/surgeon. The effective date is July 1, 2017. The expiration date is June 30, 2018. The business address is 5920 Seabird Dr S, Gulfport, FL 33707-3936. The current status is inactive.
| Licensee Name | KELLY ZOOK |
| Credential ID | 1310205 |
| Credential Number | 1.054759 |
| Credential Type | Physician/Surgeon |
| Business Address |
5920 Seabird Dr S Gulfport FL 33707-3936 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-11-09 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2018-06-30 |
| Refresh Date | 2018-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1310290 | CSP.0061470 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-11-10 | 2015-11-10 - 2017-02-28 | INACTIVE |
| 1310206 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 5920 SEABIRD DR S |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-3936 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy J Payne | 7998 Causeway Blve N, St Petersburg, FL 33707 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Meredith Lopez | 6150 Gulfport Blvd S Unit 416, Gulfport, FL 33707 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Richard Thomas Burke | 6034 2nd Ave S, St. Petersburg, FL 33707 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan J Bates | 680 61st St S, St Petersburg, FL 33707 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| Emmett E Walsh | 2232 Beach Blvd S, Gulfport, FL 33707 | Architect | 2000-08-04 ~ 2001-07-31 |
| Heather Klemme | 301 Pasadena Ave So, St Petersburg, FL 33707 | Engineer-in-training | ~ |
| Nancy M Kelly | 7885 2nd Ave So, St Petersburg, FL 33707 | Registered Nurse | 1992-06-25 ~ 1993-06-30 |
| Joan A Romanello | 7862 Sailboat Key, South Pasadena, FL 33707 | Registered Nurse | 2003-06-26 ~ 2004-07-31 |
| Patricia Aurora | 1839 Dolphin Blvd S, South Pasadena, FL 33707 | Licensed Practical Nurse | 1992-09-24 ~ 1993-07-31 |
| Caroline F Somma | 5960 30th Ave South, Gulfport, FL 33707 | Registered Nurse | 2006-04-21 ~ 2007-04-30 |
| Find all Licenses in zip 33707 | |||
| City | GULFPORT |
| Zip Code | 33707 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GULFPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zook Dinon Pa | 509 S Lenola Rd Bldg 1, Moorestown, NJ 08057-1561 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Kelly Maureen Dillman | 342 E 110th St Apt 5d, New York, NY 10029-7088 | Physician/surgeon | ~ |
| Kelly A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly Tong | 660 Smith Rd, Parsippany, NJ 07054-3308 | Physician/surgeon | 2018-05-01 ~ 2019-05-31 |
| John J. Kelly | 1618 8 1/2 Ave Se, Rochester, MN 55904-5407 | Physician/surgeon | 1970-10-13 ~ 1977-09-30 |
| Kelly Olino | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| George P Kelly | 113 Sky Top Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on KELLY ZOOK.
| 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).