KELLY IRENE MITCHELL (Credential# 1378714) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KELLY IRENE MITCHELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003681. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 63 Paul Ter, Southington, CT 06489-4128. The current status is active.
| Licensee Name | KELLY IRENE MITCHELL |
| Credential ID | 1378714 |
| Credential Number | 23.003681 |
| Credential Type | Physician Assistant |
| Business Address |
63 Paul Ter Southington CT 06489-4128 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-09-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1381111 | CSP.0064106 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 63 PAUL TER |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-4128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John B Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily Macdonald | 125 Paul Ter, Southington, CT 06489-4128 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
| Christine T Spiegel | 83 Paul Ter, Southington, CT 06489-4128 | Emergency Medical Technician | 2012-08-31 ~ 2015-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene Cordilico | 595 Highland St, Wethersfield, CT 06109-3937 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Irene M Vangsness | 77 Cow Pen Hill Road, Killingworth, CT 06419 | Physician Assistant | 2005-05-24 ~ 2006-07-31 |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
| Jennifer Quinn Mitchell | 590 Buff Cap Road, Tolland, CT 06084 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kelly C Barker | 5700 Spring Oak Dr, Los Angeles, CA 90068 | Physician Assistant | 1998-09-21 ~ 1999-08-31 |
| Kelly Nguyen | 134 Wakefield Cir, East Hartford, CT 06118-1632 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly A Christman | 29 Peepers Holw, Greenwich, CT 06831-3225 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on KELLY IRENE MITCHELL.
| 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).