LISA M PETERSON (Credential# 1051898) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA M PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051964. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 9 Muriel Drive, Granby, CT 06035. The current status is active.
| Licensee Name | LISA M PETERSON |
| Credential ID | 1051898 |
| Credential Number | CSP.0051964 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9 Muriel Drive Granby CT 06035 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772430 | 47.002756 | Veterinarian | 2000-06-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 9 Muriel Drive |
| City | Granby |
| State | CT |
| Zip Code | 06035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Geigner | 62 Creamery Hill Rd., Granby, CT 06035 | Medication Administration Certification | ~ |
| Matthew L Einzig | 8 Strawberry Fields Road, Granby, CT 06035 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Christine M Giannoni | 36 Twilight Dr, Granby, CT 06035 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stonegate Gardens, Inc | 69 Bushy Hill Road, Granby, CT 06035 | Nursery Registration | 2020-07-01 ~ 2021-06-30 |
| Christopher L Mele | 16 Zimmer Road, Granby, CT 06035 | Athletic Trainer | 2020-09-01 ~ 2021-08-31 |
| Wendy L Wright | 10 Intervale Road, Granby, CT 06035 | Real Estate Salesperson | 2020-03-09 ~ 2021-05-31 |
| Vipasha Desai | 41 Hartford Ave, Granby, CT 06035 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Benjamin J. Butch | 125 North Granby Rd., Granby, CT 06035 | Hoisting Equipment Operator | 2018-04-18 ~ 2020-04-17 |
| Lori A Schick-schneider | 11 Copperbrook Circle, Granby, CT 06035 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Salmon Brook | 65 Salmon Brook Rd., Granby, CT 06035 | Public Community Living Arrangement | 2019-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06035 | |||
| City | Granby |
| Zip Code | 06035 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Granby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley S Peterson Md | 61 Rt 138, Somers, NY 10589 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Bridget I Peterson Pa | 7 Elm St Apt 4, Norwalk, CT 06850-3900 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Richard L Peterson | 31 Warnock Dr, Westport, CT 06880-2206 | Controlled Substance Registration for Practitioner | 2013-05-06 ~ 2015-02-28 |
| Marla J Peterson | 37 Highline Trl, Stamford, CT 06902-1002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andrea A Peterson Md | 133 Marne Ave, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| W Scott Peterson Md | 87 Grandview Ave, Waterbury, CT 06708-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J M Peterson | 625 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana A Peterson | 17 Mcneil Cir, Marlborough, MA 01752-1677 | Controlled Substance Registration for Practitioner | 2015-01-09 ~ 2017-02-28 |
| Wendy L Peterson | 21 Johnson St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard T Peterson Md | 66 Orange St Apt 417, New Haven, CT 06510-3143 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on LISA M PETERSON.
| 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).