D KELLY AGNEW (Credential# 554091) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
D KELLY AGNEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036500. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 7500 Brooktree Rd # Gl, Wexford, PA 15090-9254. The current status is active.
| Licensee Name | D KELLY AGNEW |
| Credential ID | 554091 |
| Credential Number | 1.036500 |
| Credential Type | Physician/Surgeon |
| Business Address |
7500 Brooktree Rd # Gl Wexford PA 15090-9254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-11-21 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-14 |
| Street Address | 7500 BROOKTREE RD # GL |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hugo J Pfaeffle | 7500 Brooktree Rd # Gl, Wexford, PA 15090-9254 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott G Rainey | 7500 Brooktree Rd, Wexford, PA 15090-9254 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Thomas S Muzzonigro | 7500 Brooktree Rd # Gl101, Wexford, PA 15090-9254 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coeptis Pharmaceuticals Inc · Coeptis Pharmaceuticals, Inc | 105 Bradford Rd Ste# 420, Wexford, PA 15090 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Ronald D Martin | 240 Emmett Rd, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Angela D Nikitas | 423 Fairmont Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Annette Jeanne English | 135 Blue Heron Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Trang Mai | 318 Marshall Heights Dr, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Vasudha Kale | 10596 Forest Hill Dr, Wexford, PA 15090 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jeremy A Kriner | 100 Greenwood Drive, Wexford, PA 15090 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Corey Pacek | 7500 Brooktree Rd., Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| William E. Saar | 7500 Brooktree Road, Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Trenton M Gause | Tri Rivers Consulting, Wexford, PA 15090 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 15090 | |||
| City | WEXFORD |
| Zip Code | 15090 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Agnew Enterprises LLC | 76 Flagg Rd, West Hartford, CT 06117-2321 | Home Improvement Contractor | 2016-06-23 ~ 2016-11-30 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Kelly Benabou | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | ~ |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John J. Kelly | 1618 8 1/2 Ave Se, Rochester, MN 55904-5407 | Physician/surgeon | 1970-10-13 ~ 1977-09-30 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| George P Kelly | 113 Sky Top Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kelly Olino | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Kevin Vincent Kelly | 11 E 87th St Ste 1b, New York, NY 10128-0528 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on D KELLY AGNEW.
| 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).