KELLY E FELLOWS (Credential# 1488029) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2019. The license status is INACTIVE.
KELLY E FELLOWS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057603-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2019. The business address is 66 Glenbrook Rd Apt 4213, Stamford, CT 06902-8406. The current status is inactive.
| Licensee Name | KELLY E FELLOWS |
| Credential ID | 1488029 |
| Credential Number | 1.057603-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
66 Glenbrook Rd Apt 4213 Stamford CT 06902-8406 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2015-07-01 |
| Effective Date | 2015-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1308248 | CSP.0061405 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-03 | 2015-09-03 - 2017-02-28 | INACTIVE |
| Street Address | 66 GLENBROOK RD APT 4213 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-8406 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Garvey W Fox | 97 Seminole Lane, Stratford, CT 06902-8406 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anthony Steven Mosco | 66 Glenbrook Rd Apt 4212, Stamford, CT 06902-8406 | Certified Public Accountant License | 2015-01-01 ~ 2015-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Mcgonigle | 44 Mayfair Dr, Pittsburgh, PA 15228-1104 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Kelly Donovan | 130 Division St, Derby, CT 06418 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Kelly Garcia | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kelly Benabou | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kelly Mcginnis Hager | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kelly A Joseph | 7 S View Terrace, Old Saybrook, CT 06475 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Donald J Fellows · Fellows Contractor | 1200 Marshall Lake Rd, Torrington, CT 06790 | Home Improvement Contractor | 2015-12-01 ~ 2016-10-28 |
| Erin Kelly Flynn | 750 Whitney Ave, New Haven, CT 06511 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Kristopher Kelly | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Caleb Kelly | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
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| 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).