CARL KELLAN (Credential# 541650) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CARL KELLAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015835. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 26 Hillsview Ave, Wallingford, CT 06492-4632. The current status is active.
| Licensee Name | CARL KELLAN |
| Credential ID | 541650 |
| Credential Number | 1.015835 |
| Credential Type | Physician/Surgeon |
| Business Address |
26 Hillsview Ave Wallingford CT 06492-4632 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1972-11-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1246140 | CSP.0058731 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-09-20 | 2014-09-20 - 2015-02-28 | INACTIVE |
| 145152 | CSP.0010064 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 26 HILLSVIEW AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4632 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Eylward Jr | 58 Hillsview Ave, Wallingford, CT 06492-4632 | Emergency Medical Technician | 2018-10-11 ~ 2021-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kellan Irish Whiskey | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-04-20 ~ 2015-04-18 |
| Carl Ira Schoenberger | 955 Mix Ave Apt 1j, Hamden, CT 06514-5126 | Physician/surgeon | 1977-07-01 ~ 1982-09-30 |
| Carl C Chi | 22 Goodrich Ln, Portland, CT 06480-1063 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl W Lindquist | P.o. Box 23, Chaplin, CT 06235-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl Ramsay | 530 E.85th St, New York, NY 10028 | Physician/surgeon | ~ |
| Carl W Carlson | P.o. Box 513, Bristol, NH 03222 | Physician/surgeon | 1996-09-09 ~ 1997-09-30 |
| Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carl T. Shenkman | 200 2nd St South, St Petersburg, FL 33701 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Carl M Cassin | 301 Redstone Dr, Cheshire, CT 06410-1722 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Carl J Comuniello | 101 Middle Rd, Eastchester, NY 10709-3843 | Physician/surgeon | 2013-04-16 ~ 2014-04-30 |
Please comment or provide details below to improve the information on CARL KELLAN.
| 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).