GRANT G KELLEY MD (Credential# 157856) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 1, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.
GRANT G KELLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018815. The credential type is controlled substance registration for practitioner. The effective date is December 1, 1996. The expiration date is February 28, 1998. The business address is 8029 Summer View Dr, Fayetteville, NY 13066. The current status is inactive.
| Licensee Name | GRANT G KELLEY MD |
| Credential ID | 157856 |
| Credential Number | CSP.0018815 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8029 Summer View Dr Fayetteville NY 13066 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-12-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549077 | 1.031309 | Physician/Surgeon | 1991-01-18 | 1995-12-20 - 1997-01-31 | INACTIVE |
| Street Address | 8029 SUMMER VIEW DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shanhua Yuan | 5100 Highbridge St. Apt 40e, Fayetteville, NY 13066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2021-07-31 |
| James F Erba | 106 Shady Lane, Fayetteville, NY 13066 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Russell J Firman Md | 112 Woodberry Lane, Fayetteville, NY 13066 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Pinnacle Capital Management Funds Trust | 100 Limestone Plaza, Fayetteville, NY 13066 | Filing Company (icoe) | 2019-12-31 ~ 2020-12-31 |
| Magdalena Pyo | 317 Homewood Drive, Fayetteville, NY 13066 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Joseph L. Charles | 12 Landgrove Drive, Fayetteville, NY 13066 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Stephen G Tallman · Tag Mechanical Systems Inc | 7013 Woodchuck Hill Rd, Fayetteville, NY 13066 | Heating, Piping & Cooling Limited Contractor | 2018-09-01 ~ 2019-08-31 |
| Kelly A. Redmond | 5155 Montgomery Road, Fayetteville, NY 13066 | Certified Public Accountant Certificate | ~ |
| Haley Everding | 808 South Manlius St., Fayetteville, NY 13066 | Emergency Medical Technician | ~ |
| Alvin C White | 1 Thistlewood Lane, Fayetteville, NY 13066 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Find all Licenses in zip 13066 | |||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAYETTEVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert S Kelley | Bethel, CT 06810 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelley A Waters | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-09 ~ 2011-02-28 |
| Mary M Kelley Pa | 25 Chestnut St, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kelley L Harpin | 9 Dudley Rd, Litchfield, CT 06759-3109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra Kelley | 33 William St, Pawcatuck, CT 06379-2106 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kelley Matt | 30 Birch Rd, Darien, CT 06820-2901 | Controlled Substance Registration for Practitioner | 2019-09-06 ~ 2021-02-28 |
| Georgia A Kelley | 399 Crestwood Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John D Kelley | 31 Beechwood Rd, Branford, CT 06405-3203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelley L Sturrock Md | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen A Kelley | 31 Beechwood Rd, Branford, CT 06405-3203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GRANT G KELLEY MD.
| 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).