DAVID K PENG (Credential# 1175795) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
DAVID K PENG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055629. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 99 E River Dr Fl 5, East Hartford, CT 06108-7301. The current status is lapsed.
| Licensee Name | DAVID K PENG |
| Credential ID | 1175795 |
| Credential Number | CSP.0055629 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
99 E River Dr Fl 5 East Hartford CT 06108-7301 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-07-23 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1168701 | 1.052249 | Physician/Surgeon | 2013-07-17 | 2016-12-01 - 2017-11-30 | INACTIVE |
| Street Address | 99 E RIVER DR FL 5 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-7301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter U Shen | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| James C Wickwire Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph F Gerace Do | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cally A Regan | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Elizabeth Beatson Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Gregory L Kernisan Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Gordon Pa | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| John Tiernan Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Blaise Smyth | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Kong Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyun Suk Lee Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Peng | 23 Lakeridge Dr, Marlborough, CT 06447 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James S Peng | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Chun W Peng | 125 Hydrangea Cir Nw, Concord, NC 28027-7252 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lisan S Peng | 333 Kenwood Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Richard L C Peng | 567 Vauxhall St Suite 116, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peng Wang | 80 Seymour Street, Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2017-06-27 ~ 2019-02-28 |
| Chengwei Peng | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
Please comment or provide details below to improve the information on DAVID K PENG.
| 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).