KELSEY P KAMAN (Credential# 1658043) 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, 2021. The license status is ACTIVE.
KELSEY P KAMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063399-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 399 Niederwerfer Rd, South Windsor, CT 06074-1711. The current status is active.
Licensee Name | KELSEY P KAMAN |
Credential ID | 1658043 |
Credential Number | 1.063399-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
399 Niederwerfer Rd South Windsor CT 06074-1711 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-01 |
Effective Date | 2019-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1647517 | 1.063924 | Physician/Surgeon | 2019-07-13 | 2020-03-01 - 2021-02-28 | ACTIVE |
1629914 | CSP.0070208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-17 | 2019-05-17 - 2021-02-28 | ACTIVE |
886560 | 10.089447 | Registered Nurse | 2009-07-22 | 2016-03-01 - 2017-02-28 | INACTIVE |
Street Address | 399 NIEDERWERFER RD |
City | SOUTH WINDSOR |
State | CT |
Zip Code | 06074-1711 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Boyce Kaman IIi | 399 Niederwerfer Rd, South Windsor, CT 06074-1711 | Wholesaler Salesman | 2017-05-26 ~ 2019-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jessica I Mattingly | 385 Niederwerfer Rd, South Windsor, CT 06074-1711 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Professional Property Services LLC | 351 Niederwerfer Rd, South Windsor, CT 06074-1711 | Home Improvement Contractor | 2019-12-11 ~ 2020-11-30 |
Samantha L Ofeno | 377 Niederuerfer Rd, South Windsor, CT 06074-1711 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
Find all Licenses in zip 06074 |
City | SOUTH WINDSOR |
Zip Code | 06074 |
License Type | Resident Physician |
License Type + County | Resident Physician + SOUTH WINDSOR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaman Corporation | 1332 Blue Hills Ave, Bloomfield, CT 06002-5302 | Supplemental Responder | 2020-01-01 ~ 2020-12-31 |
Kelsey A Templeton | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
Kelsey Sheehan | Yale New Haven Hospital, 20 York Street, Tompkins 226, CT 06510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Boyce J Kaman Jr · Kaman's Fine Wines & Liquors | 95 South Rd, Somers, CT 06071-2109 | Package Store Liquor | 2020-07-09 ~ 2021-07-08 |
Boyce J Kaman Jr · Kaman's Wines & Lqrs | 90 Bridge St, East Windsor, CT 06088 | Package Store Liquor | 2020-05-01 ~ 2021-04-30 |
Kelsey E Sullivan | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
Boyce J Kaman Jr · Kaman's Wines & Liquor | 488 Spring Street, Windsor Locks, CT 06096 | Package Store Liquor | 2007-11-18 ~ 2008-11-17 |
Kaman Aerospace Corporation · Metrology Laboratory | Old Windsor Rd, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2009-08-01 ~ 2010-07-31 |
Kaman Corp Cafeteria | 1332 Blue Hills Ave, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2000-08-07 ~ 2001-07-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
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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).