MAUREEN C KELLY (Credential# 356627) 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.
MAUREEN C KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034379. 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 69 Tyler St, West Haven, CT 06516-6824. The current status is active.
Licensee Name | MAUREEN C KELLY |
Credential ID | 356627 |
Credential Number | CSP.0034379 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
69 Tyler St West Haven CT 06516-6824 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2003-12-08 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743112 | 23.001363 | Physician Assistant | 2003-07-25 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 69 TYLER ST |
City | WEST HAVEN |
State | CT |
Zip Code | 06516-6824 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary C Glynn | 75 Tyler St, West Haven, CT 06516-6824 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Toni Jo C Limosani | 57 Tyler St, West Haven, CT 06516-6824 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Richard W Freer | 105 Tyler St, West Haven, CT 06516-6824 | Plumbing & Piping Limited Journeyperson | 2017-03-24 ~ 2017-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maureen Mcglennon | 86 Park St, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maureen Dana Md | 7 Chipeway Rd, Middlefield, CT 06455-1300 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maureen C Burke | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Maureen K Leach | 194 Howard Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maureen Mccarthy | 100 Retreat Ave Ste 903, Hartford, CT 06106-2553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maureen Pawlak Pa | 25 Bryan Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon Maureen Carey | 74 North St Apt 201, Pittsfield, MA 01201-5174 | Controlled Substance Registration for Practitioner | 2020-04-09 ~ 2021-02-28 |
Maureen F Mccourt Aprn | 10 Oakledge Rd, Cumberland, RI 02864-6161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Maureen R Burke Md | 606 Larson Drive, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Maureen Odonnell Sharnick Dmd | 375 Bridgeport Ave, Shelton, CT 06484-3844 | 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).