GEORGIA A KELLEY (Credential# 162018) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GEORGIA A KELLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022640. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 399 Crestwood Dr, Cheshire, CT 06410. The current status is active.
Licensee Name | GEORGIA A KELLEY |
Credential ID | 162018 |
Credential Number | CSP.0022640 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
399 Crestwood Dr Cheshire CT 06410 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
551691 | 1.034092 | Physician/Surgeon | 1994-10-07 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 399 CRESTWOOD DR |
City | CHESHIRE |
State | CT |
Zip Code | 06410 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Albert Monegro | 1 Georgia Ave Apt 2b, Bronxville, NY 10708-6218 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Georgia Macedo Dds | 3 Talcott Forest Rd Apt D, Farmington, CT 06032-3552 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Georgia L Sterpka | Prohealth Physicians, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ngozi T Kanu | 5 Georgia St, Valley Stream, NY 11580-2224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert S Kelley | Bethel, CT 06810 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Sandra Kelley | 33 William St, Pawcatuck, CT 06379-2106 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Kelley L Sturrock Md | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John D Kelley | 31 Beechwood Rd, Branford, CT 06405-3203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Brian T Kelley | 28 Edwards St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Kathleen A Kelley | 31 Beechwood Rd, Branford, CT 06405-3203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).