KELLY A JOSEPH (Credential# 1490765) 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 JOSEPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058867-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 7 S View Terrace, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | KELLY A JOSEPH |
| Credential ID | 1490765 |
| Credential Number | 1.058867-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
7 S View Terrace Old Saybrook CT 06475 |
| 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 | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2008751 | CSP.0073195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-18 | 2020-02-18 - 2021-02-28 | ACTIVE |
| 1229897 | CSP.0057474 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1408894 | 1.056797 | Physician/Surgeon | 2017-08-01 | 2019-09-01 - 2020-08-31 | ACTIVE IN RENEWAL |
| 850049 | 70.010316 | Emergency Medical Technician | 2009-01-14 | 2009-01-14 - 2010-06-30 | INACTIVE |
| Street Address | 7 S View Terrace |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael W Joseph | 7 S View Terrace, Old Saybrook, CT 06475 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Benabou | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-07-01 ~ 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 A Mcgonigle | 44 Mayfair Dr, Pittsburgh, PA 15228-1104 | Resident Physician | 2017-07-01 ~ 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 |
| Kristopher Kelly | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Erin Kelly Flynn | 750 Whitney Ave, New Haven, CT 06511 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Joseph G Sokhn | New Haven, CT 06513 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Joseph A Miccio | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KELLY A JOSEPH.
| 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).