TAYLOR BARTINI KELLEY (Credential# 1527206) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
TAYLOR BARTINI KELLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004210. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 35 Jolley Dr Ste 301, Bloomfield, CT 06002-4228. The current status is active.
Licensee Name | TAYLOR BARTINI KELLEY |
Credential ID | 1527206 |
Credential Number | 23.004210 |
Credential Type | Physician Assistant |
Business Address |
35 Jolley Dr Ste 301 Bloomfield CT 06002-4228 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-08-24 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1525198 | CSP.0068749 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 35 JOLLEY DR STE 301 |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-4228 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brett L Wasserlauf | 35 Jolley Dr Ste 301, Bloomfield, CT 06002-3062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelley L Lawton | 20 Byron Dr, Granby, CT 06035-2521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Nancy C Kelley | 24 Bayberry Ln, Redding, CT 06896-1828 | Physician Assistant | 2015-03-31 ~ 2015-11-30 |
Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
Jennifer M Jones | 5656 Kelley St, Houston, TX 77026-1967 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
Taylor Merrick | 154 Conklin Rd, Stafford Springs, CT 06076-4207 | Physician Assistant | ~ |
Sam Taylor Pa | 95169 Douglas Rd, Fernandina Beach, FL 32034-1268 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
Alexandra Taylor Martin | 661 King Ave, Bronx, NY 10464-1114 | Physician Assistant | 2019-07-26 ~ 2020-04-30 |
Rachael E Taylor | 8107 Goodfellow Ln, Mechanicsville, VA 23111-4680 | Physician Assistant | 2013-02-01 ~ 2014-01-31 |
Allison E Taylor | 206 Camp Street, Middletown, CT 06457 | Physician Assistant | 1993-12-01 ~ 1994-04-30 |
Demetrios Sotiropoulos | 41 Taylor Street, East Longmeadow, MA 01028 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
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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).