MARTIN J KELLY
Physician Assistant


Address: 42 Joshua Lane, Coventry, CT 06238

MARTIN J KELLY (Credential# 742728) is licensed (Physician Assistant) 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.

Business Overview

MARTIN J KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000979. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 42 Joshua Lane, Coventry, CT 06238. The current status is active.

Basic Information

Licensee Name MARTIN J KELLY
Credential ID 742728
Credential Number 23.000979
Credential Type Physician Assistant
Business Address 42 Joshua Lane
Coventry
CT 06238
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-07-25
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-02-10

Other licenses

ID Credential Code Credential Type Issue Term Status
263020 CSP.0030656 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-16 2017-03-01 - 2019-02-28 LAPSED
857886 70.890145 Emergency Medical Technician 1989-01-09 - 1991-03-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Martin J Kelly 1 Alcima Dr, Simsbury, CT 06070-3057 Real Estate Salesperson ~
Martin J Kelly 1 Lakewoods Lane, Columbia, CT 06237 Professional Counselor 2020-04-01 ~ 2021-03-31

Office Location

Street Address 42 Joshua Lane
City Coventry
State CT
Zip Code 06238

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Kimberly A Kelly · Bissonnette 42 Joshua Lane, Coventry, CT 06238 Registered Nurse 2020-04-01 ~ 2021-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Parul S Shah · Bidwell Spirit Shoppe 1220 Main St, Coventry, CT 06238 Package Store Liquor 2020-08-02 ~ 2021-08-01
Mary A Manton 28 Armstrong Rd Unit B-9, Coventry, CT 06238 Physician/surgeon 2020-09-01 ~ 2021-08-31
Barbara J Dillon 93 Alice Drive, Coventry, CT 06238 Public Weigher 2020-07-01 ~ 2021-06-30
Cody Adam Kirschbaum 83 Daly Rd, Coventry, CT 06238 Emergency Medical Technician ~
Stephanie A Simmons 878 Silver St, Coventry, CT 06238 Licensed Practical Nurse 2020-02-01 ~ 2021-01-31
Mellissa U Carroll 349 Ripley Hill Rd, Coventry, CT 06238 Registered Nurse 2020-07-01 ~ 2021-06-30
Kristin D'alfonso 43 Windy Hill Road, Coventry, CT 06238 Physician Assistant 2020-07-01 ~ 2021-06-30
Dawn Trudeau 46 Flanders River Road, Coventry, CT 06238 Medication Administration Certification 2020-06-28 ~ 2022-06-27
Bryan Trudel 3505 South St., Coventry, CT 06238 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Christopher Dean 545 Flanders Rd., Coventry, CT 06238 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Find all Licenses in zip 06238

Competitor

Search similar business entities

City Coventry
Zip Code 06238
License Type Physician Assistant
License Type + County Physician Assistant + Coventry

Similar businesses

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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 Irene Mitchell 63 Paul Ter, Southington, CT 06489-4128 Physician Assistant 2020-04-01 ~ 2021-03-31
Kelly A Christman 29 Peepers Holw, Greenwich, CT 06831-3225 Physician Assistant 2017-03-01 ~ 2018-02-28
Kelly B Cantu 28 Huntingridge Dr, South Glastonbury, CT 06073-3612 Physician Assistant 2020-03-01 ~ 2021-02-28
Kelly Nguyen 134 Wakefield Cir, East Hartford, CT 06118-1632 Physician Assistant 2020-04-01 ~ 2021-03-31
Kelly Rainey 19 Bittersweet Lane, Ivoryton, CT 06442 Physician Assistant 2020-03-01 ~ 2021-02-28

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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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