PETER E MORTENSEN APRN (Credential# 1034066) 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.
PETER E MORTENSEN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051425. 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 385 Lake Rd, Andover, CT 06232. The current status is inactive.
| Licensee Name | PETER E MORTENSEN APRN |
| Credential ID | 1034066 |
| Credential Number | CSP.0051425 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
385 Lake Rd Andover CT 06232 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2011-09-20 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2017-02-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678220 | 12.000026 | Advanced Practice Registered Nurse | 1990-12-10 | 2015-12-01 - 2016-11-30 | INACTIVE |
| 617715 | 10.E48304 | Registered Nurse | 1985-09-04 | 2015-12-01 - 2016-11-30 | INACTIVE |
| 157843 | CSP.0018795 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 385 LAKE RD |
| City | Andover |
| State | CT |
| Zip Code | 06232 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| No Drip Pro Painters LLC | 265 Lake Road, Andover, CT 06232 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Subway of Andover · Kapsan LLC | 497 Rte 6, Andover, CT 06232 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Judith H Weiss | 39 Stanley Drive, Andover, CT 06232 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Ashley W Camp | 93 Boston Hill Road, Andover, CT 06232 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mathieu R Baptiste | 46 Hendee Road, Andover, CT 06232 | Crane Operator | ~ |
| Nicholas J. Allard | 53 Parker Bridge Road, Andover, CT 06232 | Backflow Prevention Device Tester | 2020-04-01 ~ 2020-09-30 |
| Joanne E Auger | 41 Bailey Road, Andover, CT 06232 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jasmine Norine Breault | 22 Hickory Hill Drive, Andover, CT 06232 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Katherine Balula | 61 Wales Rd, Andover, CT 06232 | Emergency Medical Technician | ~ |
| Susan C Swokla | 9 Parker Bridge Rd, Andover, CT 06232 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06232 | |||
| City | Andover |
| Zip Code | 06232 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Andover |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter J Integlia Aprn | 98 Ford St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Peter A Ford Aprn | 4 Taylor Lane, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Kelly Aprn | 53 Glendale Drive, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Tinnesz Aprn | 39 Cranbury Drive, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter P Jakubowski Aprn | 19 Great Neck Rd, Trumbull, CT 06611-3224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Mortensen | 5 Pinnacle Mountain Road, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter H Mortensen Vinci Co (the) | 1004 Newfield St, Middletown, CT 06457-1818 | Home Heating Fuel Dealer | 2019-10-01 ~ 2020-09-30 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Teri A Bolyard Aprn | 710 3rd St, New Cumberland, PA 17070-2019 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on PETER E MORTENSEN APRN.
| 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).