MARY L PERGIOVANNI (Credential# 143368) 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.
MARY L PERGIOVANNI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011823. 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 5 Holstein Lane, Portland, CT 06480. The current status is active.
| Licensee Name | MARY L PERGIOVANNI |
| Credential ID | 143368 |
| Credential Number | CSP.0011823 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Holstein Lane Portland CT 06480 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701481 | 2.006407 | Dentist | 1983-09-10 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 637629 | 10.R29855 | Registered Nurse | 1987-01-02 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 5 Holstein Lane |
| City | Portland |
| State | CT |
| Zip Code | 06480 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Kevin R Johnson | 20 Mountain Laurel Way, Portland, CT 06480 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Aaron A Adams | 138 High Street, Portland, CT 06480 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda R. Weinberger | 270 Main St. Suite A, Portland, CT 06480 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen L Cianci | 3 Myrtle Rd, Portland, CT 06480 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Joseph Bials | P.o. Box 546, Portland, CT 06480 | Sub-surface Sewage Installer | 2020-05-01 ~ 2021-04-30 |
| Olivia Jane Briggs | 6 Allen Street, Portland, CT 06480 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Donna M Dubay | 8 Penny Corner Road, Portland, CT 06480 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06480 | |||
| City | Portland |
| Zip Code | 06480 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Portland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward F Pergiovanni Dmd | 825-f Cromwell Ave, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary E Bycholski | 29 Redbud Ln, Glastonbury, CT 06033-1222 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renee Simone | 71 Mary St, Chicopee, MA 01020-1139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary C Colpoys | Po Box 264, East Haddam, CT 06423-0264 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caroline Mary Ort | 389 Parker Ave S, Meriden, CT 06450-5954 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
| Mary E Gillette | 60 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Guy L Fish Md | St. Mary's Hospital, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on MARY L PERGIOVANNI.
| 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).