ELEANOR M KELLY MD (Credential# 558700) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 13, 2005. The license expiration date date is December 31, 2006. The license status is INACTIVE.
ELEANOR M KELLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041117. The credential type is physician/surgeon. The effective date is December 13, 2005. The expiration date is December 31, 2006. The business address is 12 Wells Hill Rd, Lakeville, CT 06039. The current status is inactive.
| Licensee Name | ELEANOR M KELLY MD |
| Credential ID | 558700 |
| Credential Number | 1.041117 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Wells Hill Rd Lakeville CT 06039 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-01-31 |
| Effective Date | 2005-12-13 |
| Expiration Date | 2006-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 333864 | CSP.0033251 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 12 WELLS HILL RD |
| City | LAKEVILLE |
| State | CT |
| Zip Code | 06039 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin W Vetter | 12 Wells Hill Rd, Lakeville, CT 06039-2234 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mizza's Pizza | 6 Ethan Allen St., Lakeville, CT 06039 | Bakery | 2020-07-01 ~ 2021-06-30 |
| William F Willis | P.o. Box 1733 30 Upland Meadow Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Birgit E Jensen · Gesthuysen | Po Box 1841, Lakeville, CT 06039 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Tracy Ann Macgowan | 51 Chatfield Drive, Lakeville, CT 06039 | Real Estate Salesperson | ~ |
| Juliet W Moore | 446 Wells Hill Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Elizabeth Demetriades · Elizabeth Demetriades Architecture | 11 Brook St, Lakeville, CT 06039 | Architect | 2020-08-01 ~ 2021-07-31 |
| Victoria L Aftel · Patorno | 5 Greystone La, Lakeville, CT 06039 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leslie Irene Bell | 5 Reservoir Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan G Vreeland | 331 Wells Hill Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06039 | |||
| City | LAKEVILLE |
| Zip Code | 06039 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LAKEVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eleanor A Reid | 11 Myrtle St Apt 1b, Boston, MA 02114-4124 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Eleanor C Seiler Md | 1147 N Stone St, W Suffield, CT 06093 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Eleanor Ramos Md | 321 Camino Al Lago, Atherton, CA 94027 | Physician/surgeon | 1996-02-28 ~ 1997-03-31 |
| Sheila A Alexander Md | 5 Eleanor Rd, North Haven, CT 06473 | Physician/surgeon | 2001-04-02 ~ 2002-02-28 |
| Eleanor M Weinstein | 100 Calamus Mead Rd, Hamden, CT 06514 | Physician/surgeon | 1993-10-25 ~ 1994-08-31 |
| Eleanor M Travers | 8828 Germantown Ave., Philadelphia, PA 19118 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Mitchell J Kresch | 5 Eleanor Road, North Haven, CT 06473 | Physician/surgeon | 2006-03-30 ~ 2007-04-30 |
| Eleanor Wolf | 2368 East 27th St, Brooklyn, NY 11229 | Physician/surgeon | 2001-12-21 ~ 2002-09-30 |
| Eleanor Russell-goldman | 243 Forest Hills Street, Boston, MA 02130 | Physician/surgeon | 2017-08-01 ~ 2018-08-31 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
Please comment or provide details below to improve the information on ELEANOR M 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).