COURTNEY WAGNER PEERLESS (Credential# 1276023) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.
COURTNEY WAGNER PEERLESS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003314. The credential type is physician assistant. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 52 Charlesgate E Apt 155, Boston, MA 02215-3624. The current status is inactive.
| Licensee Name | COURTNEY WAGNER PEERLESS |
| Credential ID | 1276023 |
| Credential Number | 23.003314 |
| Credential Type | Physician Assistant |
| Business Address |
52 Charlesgate E Apt 155 Boston MA 02215-3624 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-04-13 |
| Effective Date | 2018-12-01 |
| Expiration Date | 2019-11-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1278506 | CSP.0059863 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-17 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 52 CHARLESGATE E APT 155 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3624 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Providence Strategic Growth Europe, Lp | Landmark Center, Boston, MA 02215 | Securities - Exemptions | ~ |
| Dana-farber Cancer Institute Inc | 450 Brookline Ave, Boston, MA 02215 | Nonresident Pharmacy | ~ |
| Kelly Zhang | 400 Brookline Ave, Boston, MA 02215 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Red Sox Foundation | 4 Jersey Street, Boston, MA 02215 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Marc-david Munk | 136 Brookline Ave, Boston, MA 02215 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Walgreens #10996 | 429 Brookline Ave., Boston, MA 02215 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Inga-marie Schaefer | 19 Queensberry Street, Boston, MA 02215 | Physician/surgeon | 2018-02-01 ~ 2019-02-28 |
| Bhaskar Roy | 111 Park Drive, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David E Denny | 51 Park Dr #2, Boston, MA 02215 | Professional Engineer | 2012-03-12 ~ 2013-01-31 |
| Find all Licenses in zip 02215 | |||
| City | BOSTON |
| Zip Code | 02215 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BOSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchell Peerless · Peerless Structures Inc | Po Box 78, West Granby, CT 06090 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Peerless Structures Inc | 34 Simsbury Rd, West Granby, CT 06090 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Peerless Peerless Kentucky Straight Bourbon Single Barrel Pr | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-05-09 ~ 2022-05-08 |
| Peerless Peerless Kentucky Straight Bourbon Small Batch | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-05-09 ~ 2022-05-08 |
| Peerless Peerless Kentucky Straight Bourbon Single Barrel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-05-09 ~ 2022-05-08 |
| Eric Wagner | 1 Archer Place, Tarrytown, NY 10591 | Physician Assistant | 2007-04-23 ~ 2008-06-30 |
| Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
| Courtney Adair Chenault | 110 Lismore Ave, Glenside, PA 19038-4011 | Physician Assistant | ~ |
| Courtney R Whittle | 73 Perry Rd, Bristol, CT 06010-7812 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
Please comment or provide details below to improve the information on COURTNEY WAGNER PEERLESS.
| 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).