KELLY RAINEY (Credential# 742679) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY RAINEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000930. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 19 Bittersweet Lane, Ivoryton, CT 06442. The current status is active.
Licensee Name | KELLY RAINEY |
Credential ID | 742679 |
Credential Number | 23.000930 |
Credential Type | Physician Assistant |
Business Address |
19 Bittersweet Lane Ivoryton CT 06442 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-01-26 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
648337 | 10.R48588 | Registered Nurse | 1993-01-04 | 2020-03-01 - 2021-02-28 | ACTIVE |
237827 | CSP.0029720 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 19 BITTERSWEET LANE |
City | IVORYTON |
State | CT |
Zip Code | 06442 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cheryl B Dieso | 58 Comstock Ave, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Susan E Wyeth | 9 Summit Street, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Jill P Cartagena | 13 Highland Terrace, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Maria Malla | 70 Pond Meadow Rd, Ivoryton, CT 06442 | Nail Technician | 2020-06-18 ~ 2021-10-31 |
Michelle M D'amato | 17 Highland Terrace, Ivoryton, CT 06442 | Real Estate Salesperson | ~ |
Jennifer Tate | 26 Blake St, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Carol L Bowers · Talbot | 26 Summit St, Ivoryton, CT 06442 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa S Murphy-cipolla | 18 Windermere Way, Ivoryton, CT 06442 | Marital and Family Therapist | 2020-04-01 ~ 2021-03-31 |
Brooke N Greatsinger | 19 Blake Street, Ivoryton, CT 06442 | Real Estate Salesperson | ~ |
Timothy W Boyle | 14 Rosewood Lane, Ivoryton, CT 06442 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06442 |
City | IVORYTON |
Zip Code | 06442 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + IVORYTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rainey & Rainey Management LLC | 1163 Boulevard, West Hartford, CT 06110 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
Shawn W Rainey · Rainey Construction | 952 Shewville Rd, Ledyard, CT 06339-1120 | Home Improvement Contractor | 2014-05-21 ~ 2014-11-30 |
Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Meaghan Kelly Roberts | 390 1st Avenue, New York, NY 10010 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
Kelly Nguyen | 134 Wakefield Cir, East Hartford, CT 06118-1632 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Stephanie H Kelly | 60 Larkspur Road, Fairfield, CT 06430 | Physician Assistant | 2000-10-24 ~ 2001-10-31 |
Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
Kelly A Christman | 29 Peepers Holw, Greenwich, CT 06831-3225 | Physician Assistant | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on KELLY RAINEY.
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).