KELLY S JAZIRI (Credential# 1332731) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
KELLY S JAZIRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055081. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 108 New London Tpke, Norwich, CT 06360-2645. The current status is approved.
| Licensee Name | KELLY S JAZIRI |
| Credential ID | 1332731 |
| Credential Number | 1.055081 |
| Credential Type | Physician/Surgeon |
| Business Address |
108 New London Tpke Norwich CT 06360-2645 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2016-03-23 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1365126 | CSP.0063460 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 108 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2645 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William S Cherry | 108 New London Tpke, Norwich, CT 06360-2645 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
| Kelly Maureen Dillman | 342 E 110th St Apt 5d, New York, NY 10029-7088 | Physician/surgeon | ~ |
| Kelly L Dodge Md | 88 Harborside Dr, Milford, CT 06460-4825 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| 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 A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Kelly Md | 84 Bishop St, New Haven, CT 06511 | Physician/surgeon | 2007-09-10 ~ 2008-07-31 |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on KELLY S JAZIRI.
| 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).