ANDREW J KELLER
Physician/surgeon


Address: 909 Winstead St, Great Falls, VA 22066

ANDREW J KELLER (Credential# 545250) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 24, 1992. The license expiration date date is December 31, 1993. The license status is INACTIVE.

Business Overview

ANDREW J KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024917. The credential type is physician/surgeon. The effective date is November 24, 1992. The expiration date is December 31, 1993. The business address is 909 Winstead St, Great Falls, VA 22066. The current status is inactive.

Basic Information

Licensee Name ANDREW J KELLER
Credential ID 545250
Credential Number 1.024917
Credential Type Physician/Surgeon
Business Address 909 Winstead St
Great Falls
VA 22066
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-08-22
Effective Date 1992-11-24
Expiration Date 1993-12-31
Refresh Date 2009-07-08

Office Location

Street Address 909 WINSTEAD ST
City GREAT FALLS
State VA
Zip Code 22066

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Competitor

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City GREAT FALLS
Zip Code 22066
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREAT FALLS

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David J Keller 4 Deer Run, Mendon, VT 05701 Physician/surgeon 1969-08-15 ~ 1987-02-28
Barry R Keller 385 Temple St, New Haven, CT 06511-6801 Physician/surgeon 2013-09-01 ~ 2014-08-31
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Kathy A Keller 719 Alvarado Row, Stanford, CA 94305-1037 Physician/surgeon 2013-02-01 ~ 2014-01-31
Norman W Keller 22 Angus Lane, Greenwich, CT 06831 Physician/surgeon 2008-05-15 ~ 2009-07-31
Teresa J Pfaff-amesse C/o Michael Keller, New Haven, CT 06512 Physician/surgeon 1996-03-11 ~ 1997-04-30
Marc S Keller Md Yale Univ School of Med, New Haven, CT 06510 Physician/surgeon 2000-04-27 ~ 2001-06-30
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Dataset Information

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).

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