BRIDGET I PETERSON PA
Controlled Substance Registration for Practitioner


Address: 7 Elm St Apt 4, Norwalk, CT 06850-3900

BRIDGET I PETERSON PA (Credential# 1027843) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

BRIDGET I PETERSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051170. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 7 Elm St Apt 4, Norwalk, CT 06850-3900. The current status is inactive.

Basic Information

Licensee Name BRIDGET I PETERSON PA
Credential ID 1027843
Credential Number CSP.0051170
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7 Elm St Apt 4
Norwalk
CT 06850-3900
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-09-12
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743555 23.001806 Physician Assistant 2006-09-01 2014-10-01 - 2015-09-30 INACTIVE

Office Location

Street Address 7 ELM ST APT 4
City NORWALK
State CT
Zip Code 06850-3900

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Competitor

Search similar business entities

City NORWALK
Zip Code 06850
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK

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Licensee Name Office Address Credential Effective / Expiration
Bridget N Petrillo Aprn 4 9th Ave, Branford, CT 06405-5416 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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Bridget A Mcbride Aprn 813 Whitney Ave #2, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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Kimberly Bridget Raucci 114 Corona Dr, Milford, CT 06460-3514 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Bridget I Earle Md 16-66 Bell Blvd Apt 741, Bayside, NY 10036 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Bridget Marie Mayer 83 Riverbank Dr, Stamford, CT 06903-3536 Controlled Substance Registration for Practitioner 2019-03-01 ~ 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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