ANDREW M KELLER (Credential# 548403) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANDREW M KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030360. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 10 Island Dr, Norwalk, CT 06855-2703. The current status is active.
| Licensee Name | ANDREW M KELLER |
| Credential ID | 548403 |
| Credential Number | 1.030360 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Island Dr Norwalk CT 06855-2703 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-09-29 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157775 | CSP.0017748 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 ISLAND DR |
| City | NORWALK |
| State | CT |
| Zip Code | 06855-2703 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ericka J Randazzo | 2 Island Dr, Norwalk, CT 06855-2703 | Emergency Medical Technician | 2015-08-19 ~ 2017-07-01 |
| Chris K Randazzo | 2 Island Dr, Norwalk, CT 06855-2703 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia D Gardella | 5 Spar Road, East Norwalk, CT 06855 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sharon Palmisano | 7 Poplar St, East Norwalk, CT 06855 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Dunkin Donuts | 196 East Ave, Norwalk, CT 06855 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda R Gray | 15 Elliott St, East Norwalk, CT 06855 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda A Cappello | 199 Gregory Boulevard #a3, Norwalk, CT 06855 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Kory Celine Tobias | 22 Emerson St, Norwalk, CT 06855 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Steven L Orban | 5 Calf Pasture Beach Rd., Norwalk, CT 06855 | Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Lyons | 5 Raymond Lane, Norwalk, CT 06855 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Meghan Mulvehill | 5 Pine Hill Ave, Norwalk, CT 06855 | Professional Counselor Associate | 2020-06-13 ~ 2021-05-31 |
| Tasheaka Campbell | 32 Triangle Street, Norwalk, CT 06855 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06855 | |||
| City | NORWALK |
| Zip Code | 06855 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Keller | 909 Winstead St, Great Falls, VA 22066 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
| Seth I Keller | 439 Edgewood Ave, New Haven, CT 06511 | Physician/surgeon | 2002-07-01 ~ 2003-07-31 |
| 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 |
| Frank Lee | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | Physician/surgeon | ~ |
| 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 |
| Geetha R Swamy Iyah Md | 1009 Woodford Drive, Keller, TX 76248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).