KEVIN J TALLY (Credential# 559668) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KEVIN J TALLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042086. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 16 Rip Rd, Hanover, NH 03755-1614. The current status is active.
| Licensee Name | KEVIN J TALLY |
| Credential ID | 559668 |
| Credential Number | 1.042086 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Rip Rd Hanover NH 03755-1614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-01-12 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 365641 | CSP.0034751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-04-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 RIP RD |
| City | HANOVER |
| State | NH |
| Zip Code | 03755-1614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grassroot Soccer Inc | 15 Lebanon Street, Hanover, NH 03755 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Daniel S Shea | 19 Dresden Road, Hanover, NH 03755 | Architect | 2019-08-01 ~ 2020-07-31 |
| Alan N Saucier | 5 Fern Lane, Hanover, NH 03755 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Robyn A Gray | 1 Wardrobe Rd, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin Pastor | 97 Goose Pond Road, Hanover, NH 03755 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Kayla Elizabeth Zentmaier | 21 Mulherrin Farm Road, Hanover, NH 03755 | Emergency Medical Technician | ~ |
| Kimberly A Robertson | 1 Fern Lane, Hanover, NH 03755 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| John L Currie Md | 7 Barrett Road, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Julie S Ionno | 3 Curtiss Road, Hanover, NH 03755 | Registered Nurse | 2010-06-01 ~ 2011-05-31 |
| New England Nordic Ski Association | 8 Woodmore Drive, Hanover, NH 03755 | Public Charity | ~ |
| Find all Licenses in zip 03755 | |||
| City | HANOVER |
| Zip Code | 03755 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HANOVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirin Mahooti Md | 127 Tally Ho Dr, Chadds Ford, PA 19317-9721 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tally Ho Lane | 5 Tally Ho Lane, Stamford, CT 06905 | Community Living Arrangement | 2019-01-01 ~ 2020-12-31 |
| Tulips for Tally | 39 Featherbed Ln, Branford, CT 06405-6116 | Public Charity-exempt From Financial Requirements | 2015-11-10 ~ |
| Kevin W Dickey Md | Po Box 217, New Britain, CT 06050-0217 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Kevin Y Pei | Po Box 208062, New Haven, CT 06520 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Kevin L Soe | 26 Jasmine Dr, Middletown, NY 10940-5046 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Kevin D Carr Md | 81 Beachland Ave, Milford, CT 06460 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kevin M Schuster Md | 21 Cedar Rd, Woodbridge, CT 06525-1642 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Kevin J Finkel Md | 100 Retreat Ave, # 900, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kevin J Reagan Md | 35 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KEVIN J TALLY.
| 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).