KELLY NGUYEN (Credential# 1662416) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KELLY NGUYEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004479. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 134 Wakefield Cir, East Hartford, CT 06118-1632. The current status is active.
| Licensee Name | KELLY NGUYEN |
| Credential ID | 1662416 |
| Credential Number | 23.004479 |
| Credential Type | Physician Assistant |
| Business Address |
134 Wakefield Cir East Hartford CT 06118-1632 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-06 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1666765 | CSP.0071437 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-06 | 2019-06-06 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Nguyen | 118 Brentwood Rd, Newington, CT 06111-2508 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Street Address | 134 WAKEFIELD CIR |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-1632 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hiep Thanh Nguyen | 65 Cloverdale Dr, East Hartford, CT 06118 | Nail Technician | 2020-06-26 ~ 2021-11-30 |
| Andrene Bennett | 34 Lanham Drive, East Hartford, CT 06118 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Jennifer L Smith | 399 Hills Street, East Hartford, CT 06118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Allisia Nicole Green | 75 Rowland Drive, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Jason Paul Cianci | 3 Roxbury Rd, East Hartford, CT 06118 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Laura E Lopez | 650 Forbes St, East Hartford, CT 06118 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dennis Frimpong-manso | 72 Primrose Drive, East Hartford, CT 06118 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Tabitha L Harris | 31 High Street #7204, East Hartford, CT 06118 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kaitlyn Kaminski | 473 Hills Street, East Hartford, CT 06118 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Francisca Quainoo | 93 Deborah Drive, East Hartford, CT 06118 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Find all Licenses in zip 06118 | |||
| City | EAST HARTFORD |
| Zip Code | 06118 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina Quynh Nguyen | 162 Maple St, Methuen, MA 01844 | Physician Assistant | 2018-10-30 ~ 2019-10-31 |
| Dan K Nguyen | 94 Pheasant Hill Dr, West Hartford, CT 06107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Martin J Kelly | 42 Joshua Lane, Coventry, CT 06238 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kelly B Cantu | 28 Huntingridge Dr, South Glastonbury, CT 06073-3612 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kelly A Christman | 29 Peepers Holw, Greenwich, CT 06831-3225 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly A. Barrett | 148 Mathewson St Unit 203, Jewett City, CT 06351-2060 | Physician Assistant | ~ |
| Kelly Rainey | 19 Bittersweet Lane, Ivoryton, CT 06442 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KELLY NGUYEN.
| 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).