PETER C LAM (Credential# 1488619) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PETER C LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058014-RES. The credential type is resident physician. The effective date is June 28, 2017. The expiration date is June 30, 2021. The business address is 25 Timberline Dr, Farmington, CT 06032-1745. The current status is active.
| Licensee Name | PETER C LAM |
| Credential ID | 1488619 |
| Credential Number | 1.058014-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
25 Timberline Dr Farmington CT 06032-1745 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-28 |
| Effective Date | 2017-06-28 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424892 | CSP.0065473 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 848991 | 70.009258 | Emergency Medical Technician | 2008-02-11 | 2011-06-20 - 2014-07-01 | INACTIVE |
| Street Address | 25 TIMBERLINE DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1745 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsey W Howard | 7 Timberline Dr, Farmington, CT 06032-1745 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Sean A Ghassem-zadeh | 19 Timberline Dr, Farmington, CT 06032-1745 | Dentist | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Lee Zhan | 297 George St Apt 6f, New Haven, CT 06511-6646 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Peter P Chen | 47 Turtle Bay Dr, Branford, CT 06405-4974 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Peter Tang | 404 E 76th St Apt 31c, New York, NY 10021-1417 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Peter Burzynski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Peter A Mancini | 14 Faulkner Drive, Guilford, CT 06437-2829 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Simon Peter Onderi | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-25 ~ 2019-06-30 |
| Luke Peter Legakis | 380 Mather St Apt 2104, Hamden, CT 06514-3155 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Peter Grzesik | Yusm - Dept of Anesthesiology, New Haven, CT 06510 | Resident Physician | 2020-08-01 ~ 2021-06-30 |
| Peter Svetlozarov Natov | 297 George St Unit 6-a, New Haven, CT 06511-6620 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Peter Flueckiger | Wake Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
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| 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).