THOMAS G KELLY MD (Credential# 558223) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2005. The license expiration date date is April 30, 2006. The license status is INACTIVE.
THOMAS G KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040640. The credential type is physician/surgeon. The effective date is April 4, 2005. The expiration date is April 30, 2006. The business address is 90 Manorwood Drive, Branford, CT 06405. The current status is inactive.
| Licensee Name | THOMAS G KELLY MD |
| Credential ID | 558223 |
| Credential Number | 1.040640 |
| Credential Type | Physician/Surgeon |
| Business Address |
90 Manorwood Drive Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-07-09 |
| Effective Date | 2005-04-04 |
| Expiration Date | 2006-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 396593 | CSP.0037059 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-02-24 | 2005-02-24 - 2006-02-28 | INACTIVE |
| Street Address | 90 MANORWOOD DRIVE |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Kelly | 3199-9 East Main St, Waterbury, CT 06705 | Home Improvement Contractor | ~ 1995-12-01 |
| Thomas J Kelly Jr Oil Co | 47 Willow Brook Rd, Cromwell, CT 06416 | Operator of Weighing & Measuring Devices | 1999-08-01 ~ 2000-07-31 |
| 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 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| Kelly Maureen Dillman | 342 E 110th St Apt 5d, New York, NY 10029-7088 | Physician/surgeon | ~ |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Kelly A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly Tong | 660 Smith Rd, Parsippany, NJ 07054-3308 | Physician/surgeon | 2018-05-01 ~ 2019-05-31 |
Please comment or provide details below to improve the information on THOMAS G KELLY MD.
| 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).