MARTHA SEVERINO-PERALTA
Controlled Substance Registration for Practitioner


Address: 67 Sandpit Road Suite 202, Danbury, CT 06810

MARTHA SEVERINO-PERALTA (Credential# 162635) 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.

Business Overview

MARTHA SEVERINO-PERALTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021822. 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 67 Sandpit Road Suite 202, Danbury, CT 06810. The current status is active.

Basic Information

Licensee Name MARTHA SEVERINO-PERALTA
Credential ID 162635
Credential Number CSP.0021822
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 67 Sandpit Road Suite 202
Danbury
CT 06810
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

Other locations

Licensee Name Office Address Credential Effective / Expiration
Martha Severino-peralta 52 Erickson Road, New Milford, CT 06776 Physician/surgeon 2020-05-01 ~ 2021-04-30

Office Location

Street Address 67 Sandpit Road Suite 202
City Danbury
State CT
Zip Code 06810

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Competitor

Search similar business entities

City Danbury
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Danbury

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Janessa Peralta 6222 Avalon Valley Dr, Danbury, CT 06810-4058 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Severino J Mata Mata 55 Brittany Farms Rd Apt 213, New Britain, CT 06053-1203 Controlled Substance Registration for Practitioner 2015-07-27 ~ 2017-02-28
Martha G Welch Md 235 Cognewaugh Rd, Cos Cob, CT 06807 Controlled Substance Registration for Practitioner 2019-04-09 ~ 2021-02-28
Martha Zegarra 78 Olive St Apt 326, New Haven, CT 06511-6986 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Martha Mccrann Pa 410 Saybrook Rd, Middletown, CT 06457 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Martha Stewart 115 Birdseye Rd, Farmington, CT 06032 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Martha A Leroy Pa 28 Reynolds Court, Del Mar, NY 12054 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
Martha E Haykin 51 Clifford St, Hamden, CT 06517 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
Martha Spieker 92 Beckett Ave, Branford, CT 06405 Controlled Substance Registration for Practitioner 1993-07-23 ~ 1995-02-01
Martha C Raphael Md 21 Bucks Hill Rd, Southbury, CT 06488 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28

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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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