MARSHAL DAVID PERIS (Credential# 1655980) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 13, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARSHAL DAVID PERIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070924. The credential type is controlled substance registration for practitioner. The effective date is May 13, 2019. The expiration date is February 28, 2021. The business address is 45 Rock Shelter Rd, Waccabuc, NY 10597-1035. The current status is active.
| Licensee Name | MARSHAL DAVID PERIS |
| Credential ID | 1655980 |
| Credential Number | CSP.0070924 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
45 Rock Shelter Rd Waccabuc NY 10597-1035 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-13 |
| Effective Date | 2019-05-13 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1604333 | 1.062993 | Physician/Surgeon | 2019-05-10 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 45 ROCK SHELTER RD |
| City | WACCABUC |
| State | NY |
| Zip Code | 10597-1035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Briar Lea Dent | 14 Chapel Road, Waccabuc, NY 10597 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher S Johnson | P.o. Box 96, Waccabuc, NY 10597 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Erin J Murray | 12 Post Office Road, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| John Samios | 24 Waccabuc River Ln, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lia Grasso | 24 Waccabuc River Lane, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mag Real Estate Advisors Inc | 36 East Ridge Road, Waccabuc, NY 10597 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kevin J Burke | 81 East Ridge Road, Waccabuc, NY 10597 | Notary Public Appointment | 2019-12-01 ~ 2024-11-30 |
| Linda Broudy | 81 Post Office Road, Waccabuc, NY 10597 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Mary T Dipaola | 24 Schoolhouse Road, Waccabuc, NY 10597 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Chariclia L Grasso | P O Box 454, Waccabuc, NY 10597 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 10597 | |||
| City | WACCABUC |
| Zip Code | 10597 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WACCABUC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Boyle | 28 Marshal St, Brookline, MA 02446 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marshal Earnest | 1000 Asylum Ave, Suite 3200, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2018-01-31 ~ 2019-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Hyung Kim | Alpine, NJ 07620-0899 | Controlled Substance Registration for Practitioner | 2018-12-13 ~ 2021-02-28 |
| David Burchenal | 213 Elm St, Stonington, CT 06378-1165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Poppel Md | 113 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David Ryu | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-04-22 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MARSHAL DAVID PERIS.
| 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).