MARY M KELLEY
Physician Assistant


Address: 25 Chestnut St, Rockville, CT 06066

MARY M KELLEY (Credential# 742331) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 15, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.

Business Overview

MARY M KELLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000582. The credential type is physician assistant. The effective date is March 15, 2000. The expiration date is May 31, 2001. The business address is 25 Chestnut St, Rockville, CT 06066. The current status is inactive.

Basic Information

Licensee Name MARY M KELLEY
Credential ID 742331
Credential Number 23.000582
Credential Type Physician Assistant
Business Address 25 Chestnut St
Rockville
CT 06066
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-06-21
Effective Date 2000-03-15
Expiration Date 2001-05-31
Refresh Date 2009-07-08

Office Location

Street Address 25 CHESTNUT ST
City ROCKVILLE
State CT
Zip Code 06066

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Teodoro A Drake 25 Chestnut St, Rockville, CT 06066 Real Estate Salesperson 2007-09-05 ~ 2008-05-31
Mary M Kelley Pa 25 Chestnut St, Rockville, CT 06066 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cynthia Stelma 35 White St, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Diana C Mendieta 127 Lake St, Vernon, CT 06066 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-02-28
Taylor Rose Mulcahy 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Eric Scott · E Scott Const 27 Lawrence St, Vernon Rockville, CT 06066 Home Improvement Contractor 2020-06-20 ~ 2020-11-30
Margaret A Lucerini 27 Rosewood Dr, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Alexander John Bozzi 28 Deepwood Dr, Vernon, CT 06066 Home Inspector Intern 2020-05-30 ~ 2021-06-30
Kathleen N Laplaca 244 Risley Road, Vernon, CT 06066 Registered Nurse 2020-07-01 ~ 2021-06-30
Shawnda Shelton 215 East Main St. #25, Vernon, CT 06066 Medication Administration Certification 2020-06-05 ~ 2022-06-04
Ireland Oil Co Inc 171 Union St, Vernon, CT 06066 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Annmarie Margaret Fultz 1a Prospect St, Vernon Rockville, CT 06066 Registered Nurse 2020-09-01 ~ 2021-08-31
Find all Licenses in zip 06066

Competitor

Search similar business entities

City ROCKVILLE
Zip Code 06066
License Type Physician Assistant
License Type + County Physician Assistant + ROCKVILLE

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Nancy C Kelley 24 Bayberry Ln, Redding, CT 06896-1828 Physician Assistant 2015-03-31 ~ 2015-11-30
Kelley L Lawton 20 Byron Dr, Granby, CT 06035-2521 Physician Assistant 2020-03-01 ~ 2021-02-28
Taylor Bartini Kelley 35 Jolley Dr Ste 301, Bloomfield, CT 06002-4228 Physician Assistant 2020-05-01 ~ 2021-04-30
Jennifer M Jones 5656 Kelley St, Houston, TX 77026-1967 Physician Assistant 2017-07-01 ~ 2018-06-30
Mary Ann Stettmeier 50 Dan Kelley Drive, Alton Bay, NH 03810 Physician/surgeon 2020-04-01 ~ 2021-03-31
Katherine Mary White 245 5th Ave Floor 3, New York, NY 10016 Physician Assistant ~
Mary B Mcchrystal Pa 419 Fountain St, New Haven, CT 06515 Physician Assistant 2003-05-02 ~ 2004-06-30
Mary A Gunn 40 Prospect St, Norwalk, CT 06850 Physician Assistant 1994-03-14 ~ 1994-09-30
Mary Holmes Pa 188 Woodhaven, Glastonbury, CT 06033 Physician Assistant 2002-03-12 ~ 2003-04-30
Mary E Fleming 40 Prospect St. #2-3h, Norwalk, CT 06850 Physician Assistant 2004-09-15 ~ 2004-10-31

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Dataset Information

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).

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