RYAN THOMAS PETERSON
Resident Physician


Address: 720 Harrison Ave, Dob 9th Floor, Rm 915, Boston, MA 02118

RYAN THOMAS PETERSON (Credential# 1490906) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

RYAN THOMAS PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059008-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 720 Harrison Ave, Dob 9th Floor, Rm 915, Boston, MA 02118. The current status is active.

Basic Information

Licensee Name RYAN THOMAS PETERSON
Credential ID 1490906
Credential Number 1.059008-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 720 Harrison Ave, Dob 9th Floor, Rm 915
Boston
MA 02118
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-01
Effective Date 2016-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1356006 CSP.0062830 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-05-24 2017-03-01 - 2019-02-28 LAPSED
1353083 1.055295 Physician/Surgeon 2016-05-23 2017-05-01 - 2018-04-30 INACTIVE

Office Location

Street Address 720 Harrison Ave, DOB 9th floor, Rm 915
City Boston
State MA
Zip Code 02118

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Martin J Batt · Isgenuity LLC 500 Harrison Avenue, Suite 5f, Boston, MA 02118 Architect 2020-08-01 ~ 2021-07-31
Benjamin Ravelson 675 Tremont Street, #6, Boston, MA 02118 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Samuel M. Hauslaib 673 Tremont Street, Apartment 8, Boston, MA 02118 Behavior Analyst 2020-06-01 ~ 2021-05-31
Steven Arthur Faerstain 820 Harrison Avenue, Boston, MA 02118 Resident Physician 2018-07-01 ~ 2021-06-30
Samuel M Koonce 580 Tremont Street, Boston, MA 02118 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
George C Ballantyne 22 Worcester Square, Boston, MA 02118 Real Estate Broker 2020-04-01 ~ 2021-03-31
William Kendall Bache 300 Harrison Ave, Boston, MA 02118 Physician/surgeon ~
Threehill Capital Partners, LLC 212 West Springfield Street, Boston, MA 02118 Securities - Exemptions 2020-02-24 ~
Flint Program Incorporated 574 Massachusetts Avenue Apt B 3, Boston, MA 02118 Public Charity 2020-06-01 ~ 2021-05-31
William Huber 433 Harrison Avenue, Boston, MA 02118 Professional Engineer 2020-02-01 ~ 2021-01-31
Find all Licenses in zip 02118

Competitor

Search similar business entities

City Boston
Zip Code 02118
License Type Resident Physician
License Type + County Resident Physician + Boston

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Dataset Information

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).

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