KELSEY E SULLIVAN
Resident Physician


Address: 263 Farmington Avenue, Farmington, CT 06030-1921

KELSEY E SULLIVAN (Credential# 1653260) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2024. The license status is ACTIVE.

Business Overview

KELSEY E SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062903-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2024. The business address is 263 Farmington Avenue, Farmington, CT 06030-1921. The current status is active.

Basic Information

Licensee Name KELSEY E SULLIVAN
Credential ID 1653260
Credential Number 1.062903-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 263 Farmington Avenue
Farmington
CT 06030-1921
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-01
Effective Date 2019-07-01
Expiration Date 2024-06-30
Refresh Date 2019-05-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1654909 CSP.0070846 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-06-20 2019-06-20 - 2021-02-28 ACTIVE

Office Location

Street Address 263 Farmington Avenue
City Farmington
State CT
Zip Code 06030-1921

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Davis Aasen 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Christopher D Lemoine 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Dylan Buller 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Jennifer Lindelof 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Colin J Pavano 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Barrett B Torre 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Samantha Slattery 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2025-06-30
Ethan A Miller 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-06-28 ~ 2024-06-30
Patrick Bergamo 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-06-28 ~ 2024-06-30
Shriya Gupta 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-06-28 ~ 2024-06-30
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Hady Eltayeby 263 Farmington Avenue, Ct, Farmington, CT 06030-1921 Controlled Substance Registration for Practitioner ~
Hassaan Aftab 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2019-07-01 ~ 2021-06-30
Adriana Kahn 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-06-28 ~ 2021-06-30
Shinya U. Amano 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2019-05-23 ~ 2019-06-06
Mathur Prateek 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2019-01-02 ~ 2019-01-24
Kenneth Aguirre 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-11-08 ~ 2018-11-17
Nick M Feo 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-10-01 ~ 2018-10-14
Rabeea Nazir 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-09-30 ~ 2018-10-13
Jacob Jabbour 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-09-17 ~ 2018-09-28
Natalie Godfrey 263 Farmington Ave, Farmington, CT 06030-1921 Resident Physician 2018-08-13 ~ 2018-08-24
Find all Licenses in zip 06030-1921

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shobhana Pathani Department of Medicine, 263 Farmington Ave, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
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Competitor

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City Farmington
Zip Code 06030
License Type Resident Physician
License Type + County Resident Physician + Farmington

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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).

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