DONALD R KELLY (Credential# 540378) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DONALD R KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012539. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 387 Indies Dr, Orchid, FL 32963-9559. The current status is active.
| Licensee Name | DONALD R KELLY |
| Credential ID | 540378 |
| Credential Number | 1.012539 |
| Credential Type | Physician/Surgeon |
| Business Address |
387 Indies Dr Orchid FL 32963-9559 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1966-04-21 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-09-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144929 | CSP.0007061 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 387 INDIES DR |
| City | ORCHID |
| State | FL |
| Zip Code | 32963-9559 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Q Kudzma | 9038 Castle Harbour Circle, Vero Beach, FL 32963 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sheila A Gallo | 742 Dahlia Lane, Vero Beach, FL 32963 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susanne Redmond | 180 Clarkson Ln, Vero Beach, FL 32963 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Mark J Gerber | 185 Ocean Way, Vero Beach, FL 32963 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Scott Cohen | 115 Riverway Drive, Vero Beach, FL 32963 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Marzena Cygler | 1415 Corona Lane, Vero Beach, FL 32963 | Notary Public Appointment | 2011-12-01 ~ 2016-11-30 |
| Marta Bertoldo | 9450 East Maiden Court, Uero Beach, FL 32963 | Notary Public Appointment | 2017-02-01 ~ 2022-01-31 |
| Christopher P Perry | 855 Dahlia Ln, Vero Beach, FL 32963 | Fire Protection Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Caroline Piselli | 2245 W Ocean Oaks Cir, Vero Beach, FL 32963 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Joseph P O'connell | 5400 Highway, Vero Beach, FL 32963 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Find all Licenses in zip 32963 | |||
| City | ORCHID |
| Zip Code | 32963 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ORCHID |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald L Brown Md | 16351 Kelly Woods Dr, Ft Myers, FL 33908 | Physician/surgeon | 2007-09-25 ~ 2008-11-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Donald R Wieche | Box 227, Plymouth, VT 05056 | Physician/surgeon | 1994-02-04 ~ 1995-03-31 |
| Donald Pet | 93 Bette Dr, Manchester, CT 06040 | Physician/surgeon | 1990-07-23 ~ 1991-06-30 |
| George P Kelly | 113 Sky Top Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| Michael Kelly Md | 84 Bishop St, New Haven, CT 06511 | Physician/surgeon | 2007-09-10 ~ 2008-07-31 |
| Kelly L Dodge Md | 88 Harborside Dr, Milford, CT 06460-4825 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
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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).