KELLY C LINDQUIST (Credential# 743267) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
KELLY C LINDQUIST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001518. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 4 Queens Peak Rd., Canton, CT 06019. The current status is active.
| Licensee Name | KELLY C LINDQUIST |
| Credential ID | 743267 |
| Credential Number | 23.001518 |
| Credential Type | Physician Assistant |
| Business Address |
4 Queens Peak Rd. Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-28 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-09-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 774897 | 48.002061 | Occupational Therapist | 1998-05-08 | 2003-07-22 - 2005-07-31 | INACTIVE |
| Street Address | 4 QUEENS PEAK RD. |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindquist Hardware · Kevin Lindquist | 127 Padanaram Rd, Danbury, CT 06811 | Operator of Weighing & Measuring Devices | 2003-08-01 ~ 2004-07-31 |
| Kelly A Humel · Lindquist | 7 Eastview Road, Terryville, CT 06786 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Kelly C Lindquist Pa | 4 Queens Peak Rd, Canton, CT 06019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly K Lindquist · Sweet Rewards | 18 Great Meadow Rd, New Fairfield, CT 06812-2811 | Cottage Food Operation | 2020-04-27 ~ 2021-02-28 |
| 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 |
| Meaghan Kelly Roberts | 390 1st Avenue, New York, NY 10010 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Stephanie H Kelly | 60 Larkspur Road, Fairfield, CT 06430 | Physician Assistant | 2000-10-24 ~ 2001-10-31 |
| 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 C LINDQUIST.
| 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).