KELLY DONOVAN
Resident Physician


Address: 130 Division St, Derby, CT 06418

KELLY DONOVAN (Credential# 1510839) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

KELLY DONOVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060519-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 130 Division St, Derby, CT 06418. The current status is active.

Basic Information

Licensee Name KELLY DONOVAN
Credential ID 1510839
Credential Number 1.060519-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 130 Division St
Derby
CT 06418
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2021-06-30
Refresh Date 2018-05-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1519302 CSP.0068491 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-05-31 2018-05-31 - 2019-02-28 LAPSED

Other locations

Licensee Name Office Address Credential Effective / Expiration
Kelly Donovan 34 Elm Street 2nd Floor, Windsor Locks, CT 06096 Medication Administration Certification 2019-06-01 ~ 2021-05-31
Kelly Donovan 80 Seymour St, Hartford, CT 06102-8000 Physician Assistant 2020-07-01 ~ 2021-06-30
Kelly Donovan 200 Research Parkway, Meriden, CT 06450 Medication Administration Certification 2012-12-19 ~ 2014-12-18

Office Location

Street Address 130 Division St
City Derby
State CT
Zip Code 06418

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ricardo Concepcion Gomez 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2024-06-30
Anwesh Poosala 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2024-06-30
Da Young Ryu 130 Division St, Derby, CT 06418 Resident Physician 2020-07-01 ~ 2024-06-30
Genevieve C Kela 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Inshiya Dawoodi 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Sovit Dahal 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Rosa Constantino 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Ivanshi Gondalia 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Angad Gill 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Douglas Palacios 130 Division St, Derby, CT 06418-1326 Resident Physician 2020-07-01 ~ 2023-06-30
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Debra A Montini 8 Academy Hill Ext, Derby, CT 06418 Dental Hygienist 2020-08-01 ~ 2021-07-31
Laura M Boanno 131 Marshall La, Derby, CT 06418 Registered Nurse 2020-07-01 ~ 2021-06-30
Danyun Chen 49 Pershing Dr., Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Fan Geng Shoprite Shopping Center, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Danni Xu Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Yao Zhang Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Phillip N Burke 3 Camptown St, Derby, CT 06418 Emergency Medical Technician 2017-06-07 ~ 2020-06-30
Diane A Rosner 229 Shagbark Drive, Derby, CT 06418 Professional Counselor 2020-08-01 ~ 2021-07-31
Pamela C Lavelle 194 Minerva St, Derby, CT 06418 Registered Nurse 2020-08-01 ~ 2021-07-31
Grade A Market - Derby LLC 49 Pershing Dr, Derby, CT 06418 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06418

Competitor

Search similar business entities

City Derby
Zip Code 06418
License Type Resident Physician
License Type + County Resident Physician + Derby

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Donovan B Lockwood 20 York St, New Haven, CT 06510-3220 Resident Physician 2020-06-09 ~ 2021-06-30
Lisa Kristin O'donovan 20 York Street, New Haven, CT 06510 Resident Physician 2020-07-01 ~ 2021-06-30
Kelly A Mcgonigle 44 Mayfair Dr, Pittsburgh, PA 15228-1104 Resident Physician 2017-07-01 ~ 2021-06-30
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 A Joseph 7 S View Terrace, Old Saybrook, CT 06475 Resident Physician 2017-07-01 ~ 2021-06-30
Kelly E Fellows 66 Glenbrook Rd Apt 4213, Stamford, CT 06902-8406 Resident Physician 2015-07-01 ~ 2019-06-30
Kelly Mcginnis Hager 20 York St Rm 226, New Haven, CT 06510-3220 Resident Physician 2020-07-01 ~ 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

Improve Information

Please comment or provide details below to improve the information on KELLY DONOVAN.

Dataset Information

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).

Trending Searches