KELLY A MCGONIGLE (Credential# 1488671) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KELLY A MCGONIGLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058066-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 44 Mayfair Dr, Pittsburgh, PA 15228-1104. The current status is active.
| Licensee Name | KELLY A MCGONIGLE |
| Credential ID | 1488671 |
| Credential Number | 1.058066-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
44 Mayfair Dr Pittsburgh PA 15228-1104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424717 | CSP.0065433 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 44 MAYFAIR DR |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15228-1104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christie L Campbell | 300 Gilkeson Rd 11c, Pittsburgh, PA 15228 | Perfusionist | 2019-08-01 ~ 2020-07-31 |
| Phillip E Custer | 1287 Washington Rd, Pittsburgh, PA 15228 | Professional Engineer | 1989-03-30 ~ 1990-01-31 |
| Richard L Hinde Jr | 1270 Washington Rd, Pittsburgh, PA 15228 | Real Estate Salesperson | ~ |
| Barbara A Veazey | One Hartle Lane, Pittsburgh, PA 15228 | Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Mary A Bifano | 102 Atlanta Pl, Pittsburgh, PA 15228 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Linda Zeiler | 625 Upper Rd, Pittsburgh, PA 15228 | Registered Nurse | 2009-03-26 ~ 2010-04-30 |
| Leanne Dickson-steele | 825 Fruithurst Drive, Pittsburg, PA 15228 | Registered Nurse | 2008-07-03 ~ 2009-06-30 |
| Michael A Fuentes | 100 Markham Dr, Pittsburgh, PA 15228 | Physician/surgeon | 1992-12-22 ~ 1993-10-19 |
| Sandra S Kaplan | 326 Orchard Dr, Mt Lebanon, PA 15228 | Physician/surgeon | 2001-08-09 ~ 2002-09-30 |
| Cynthia Fryer | 1036 Cedar Blvd, Pittsburgh, PA 15228 | Registered Nurse | 1987-09-14 ~ 1989-05-31 |
| Find all Licenses in zip 15228 | |||
| City | PITTSBURGH |
| Zip Code | 15228 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + PITTSBURGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Benabou | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kelly Garcia | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kelly Donovan | 130 Division St, Derby, CT 06418 | Resident Physician | 2018-07-01 ~ 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 E Fellows | 66 Glenbrook Rd Apt 4213, Stamford, CT 06902-8406 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Kelly A Joseph | 7 S View Terrace, Old Saybrook, CT 06475 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| 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 |
| Kelly E Nedorostek | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
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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).