KATHLEEN KELLIHER PA (Credential# 741987) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
KATHLEEN KELLIHER PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000238. The credential type is physician assistant. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 111 Whiting Lane, West Hartford, CT 06119. The current status is active.
| Licensee Name | KATHLEEN KELLIHER PA |
| Credential ID | 741987 |
| Credential Number | 23.000238 |
| Credential Type | Physician Assistant |
| Business Address |
111 Whiting Lane West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-22 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162653 | CSP.0021839 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 111 WHITING LANE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert F Kelliher · Kelliher Construction Co | 59 Park Ave, Enfield, CT 06082 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Kathleen H Kelliher | 131 Cedar St, Newington, CT 06111-2644 | Emergency Medical Responder | 2017-09-15 ~ 2020-06-30 |
| Kathleen M Kelliher | 1882 Happy Lane, Eugene, OR 97401 | Physical Therapist | 2007-05-29 ~ 2008-05-31 |
| Derek J Kelliher | 181 Sherbrook Street #35, Bristol, CT 06010 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kathleen M Reccord Pa | 9 1/2 Oakland St, Wilbraham, MA 01095 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathleen K Treanor | 111 Jamestown Dr, Springfield, MA 01108-3145 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kathleen M Shea | 182 Front St., New Haven, CT 06513 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Kathleen Wilcox | 47 Millard St Fl 2, New Britain, CT 06051-2431 | Physician Assistant | 2020-06-25 ~ 2020-09-30 |
| Kathleen Hutcheon | 105 Pleasant Ave, White Plains, NY 10605 | Physician Assistant | 1996-08-26 ~ 1997-10-31 |
| Kathleen F Latronica Pa-c | 39 Round Hill Rd, Woodbridge, CT 06525 | Physician Assistant | 2012-07-01 ~ 2013-06-30 |
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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).