KELLY A MALLON (Credential# 979793) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is October 31, 2014. The license status is INACTIVE.
KELLY A MALLON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.097580. The credential type is registered nurse. The effective date is November 1, 2013. The expiration date is October 31, 2014. The business address is 435 E 75th St Apt 10c, New York, NY 10021-1401. The current status is inactive.
| Licensee Name | KELLY A MALLON |
| Credential ID | 979793 |
| Credential Number | 10.097580 |
| Credential Type | Registered Nurse |
| Business Address |
435 E 75th St Apt 10c New York NY 10021-1401 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-12-30 |
| Effective Date | 2013-11-01 |
| Expiration Date | 2014-10-31 |
| Refresh Date | 2015-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 979794 | 10.097552-TEMP | Registered Nurse - Temporary | 2010-12-23 | 2010-12-23 - 2011-04-22 | INACTIVE |
| Street Address | 435 E 75TH ST APT 10C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-1401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bonnie K Mallon | 543 Ashbury Dr, Fond Du Lac, WI 54935-6389 | Registered Nurse | 2014-10-01 ~ 2015-10-31 |
| Maria Mallon | 95 B Quannacut Rd, Westerly, RI 02891 | Registered Nurse | 1996-10-23 ~ 1997-12-31 |
| Elaine D Mallon | 371 Curtiss St, Southington, CT 06489 | Registered Nurse | 1998-10-20 ~ 1999-11-30 |
| Carolyn R Mallon | 10 Beacon St, Concord, NH 03301 | Registered Nurse | 2015-05-29 ~ 2016-04-30 |
| Heather A Mallon | 16 Bayberry Dr, Prospect, CT 06712 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Patricia W Mallon | 21 Lullwater, Trumbull, CT 06611 | Registered Nurse | 2005-05-03 ~ 2006-01-31 |
| Brittany A Mallon | 140 Beardsley Parkway, Trumbull, CT 06611 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| James Dalton Mallon | 146 Heather Rdg, Shelton, CT 06484-4689 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Andrea M Mallon | 68 Brittany Lane, Glenmoore, PA 19343 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Joanne K Mallon | 14 Meads Lane, Stormville, NY 12582 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
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| 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).