HEATHER M PETERSON (Credential# 1182941) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 4, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
HEATHER M PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003002. The credential type is physician assistant. The effective date is October 4, 2013. The expiration date is July 31, 2014. The business address is 31 Delmor Ave, Wilbraham, MA 01095-1554. The current status is inactive.
| Licensee Name | HEATHER M PETERSON |
| Credential ID | 1182941 |
| Credential Number | 23.003002 |
| Credential Type | Physician Assistant |
| Business Address |
31 Delmor Ave Wilbraham MA 01095-1554 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-10-04 |
| Effective Date | 2013-10-04 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 850656 | 70.010923 | Emergency Medical Technician | 2009-06-23 | 2011-04-02 - 2011-04-01 | INACTIVE |
| 901580 | PTN.0012041 | PHARMACY TECHNICIAN | 2009-12-09 | 2010-04-01 - 2011-03-31 | INACTIVE |
| Street Address | 31 DELMOR AVE |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1554 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Peterson · Peterson Windows | 31 Delmor Ave, Wilbraham, MA 01095-1554 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Briana Peterson | 2431 New London Tpke, South Glastonbury, CT 06073 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Heather Bryant | 851 Ne 1st Ave, Miami, FL 33132 | Physician Assistant | 2018-10-30 ~ 2019-04-30 |
| Heather A Bowdre | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Heather A Jolicoeur | 105 Holley Rd, Bristol, CT 06010-5261 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Heather L Storms Pa | 33 Hospital Ave, Danbury, CT 06810 | Physician Assistant | 2004-03-23 ~ 2005-05-31 |
| Heather A Hooper | 729 Quinnipiac Ave, New Haven, CT 06513 | Physician Assistant | 1996-01-29 ~ 1997-02-28 |
| Heather M Rynkowski | 16 Hillwood Dr, Niantic, CT 06357-1823 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Crystal A Huynh | 14 Heather Ln, Wilton, CT 06897-4132 | Physician Assistant | 2013-05-22 ~ 2013-11-30 |
| Heather A Shackett | 185 Pine St #617, Manchester, CT 06040 | Physician Assistant | 1994-03-14 ~ 1995-03-31 |
| Heather M Tomchik | 12 Quail Run Dr, Danbury, CT 06811-5128 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on HEATHER 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).