KELLY P PARKS (Credential# 742173) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 15, 1994. The license expiration date date is May 31, 1995. The license status is INACTIVE.
KELLY P PARKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000424. The credential type is physician assistant. The effective date is March 15, 1994. The expiration date is May 31, 1995. The business address is 92 Main St Unit #404, Deep River, CT 06417. The current status is inactive.
| Licensee Name | KELLY P PARKS |
| Doing Business As | POTTER |
| Credential ID | 742173 |
| Credential Number | 23.000424 |
| Credential Type | Physician Assistant |
| Business Address |
92 Main St Unit #404 Deep River CT 06417 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-02-04 |
| Effective Date | 1994-03-15 |
| Expiration Date | 1995-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 92 MAIN ST UNIT #404 |
| City | DEEP RIVER |
| State | CT |
| Zip Code | 06417 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon Tosetti | 64 Acorn Rd, Deep River, CT 06417 | Nail Technician | ~ |
| Robert R Lucero | 17 River Lane, Deep River, CT 06417 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joel V Nucci | 119 Union Street, Deep River, CT 06417 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Jean-luc Poulard | 157 Main St, Apt.k, Deep River, CT 06417 | Master's Level Social Worker | ~ |
| Celebrations | 161 Main Stret, Deep River, CT 06417 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary E Charlton | 37 Laurel Wood Drive, Deep River, CT 06417 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Anthony Robert Caramanica | 72 Witch Hazel Drive, Deep River, CT 06417 | Notary Public Appointment | ~ |
| Essex Steam Train & Riverboat | River St, Deep River, CT 06417 | Boat Liquor | 2020-05-19 ~ 2021-09-18 |
| Danielle Leigh Hunter | 49 Kirtland Street, Deep River, CT 06417 | Esthetician | ~ |
| Tina C Gilbert | 6 Winter Ave Ste B, Deep River, CT 06417 | Nail Technician | ~ |
| Find all Licenses in zip 06417 | |||
| City | DEEP RIVER |
| Zip Code | 06417 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + DEEP RIVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Parks · Parks Painting | 2490 Black Rock Tpke #166, Fairfield, CT 06432-2400 | Home Improvement Contractor | 1998-04-27 ~ 1998-11-30 |
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Frederick E Parks Jr · Parks Landscaping | Po Box 608, Ridgefield, CT 06877 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Kelly B Cantu | 28 Huntingridge Dr, South Glastonbury, CT 06073-3612 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kelly M Pfau | 22 Broad Hill Cir, Guilford, CT 06437-1722 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly A. Barrett | 148 Mathewson St Unit 203, Jewett City, CT 06351-2060 | Physician Assistant | ~ |
| Kelly C Barker | 5700 Spring Oak Dr, Los Angeles, CA 90068 | Physician Assistant | 1998-09-21 ~ 1999-08-31 |
| Kelly Nguyen | 134 Wakefield Cir, East Hartford, CT 06118-1632 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KELLY P PARKS.
| 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).