COURTNEY L PETERSON (Credential# 1665980) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is October 2, 2019. The license expiration date date is September 30, 2021. The license status is ACTIVE.
COURTNEY L PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.002114. The credential type is nursing home administrator. The effective date is October 2, 2019. The expiration date is September 30, 2021. The business address is 166 Ledgewood Rd Apt 410, Groton, CT 06340-6622. The current status is active.
| Licensee Name | COURTNEY L PETERSON |
| Credential ID | 1665980 |
| Credential Number | 36.002114 |
| Credential Type | Nursing Home Administrator |
| Business Address |
166 Ledgewood Rd Apt 410 Groton CT 06340-6622 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-02 |
| Effective Date | 2019-10-02 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2019-11-01 |
| Street Address | 166 LEDGEWOOD RD APT 410 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6622 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ijeoma Alexandra Okonkwo | 166 Ledgewood Rd Apt 310, Groton, CT 06340-6622 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Jennifer L Kollar | 166 Ledgewood Rd Apt 305, Groton, CT 06340-6622 | Licensed Alcohol and Drug Counselor | 2019-06-01 ~ 2020-05-31 |
| Jennifer L Rizzo | 132 Mirra Dr, Groton, CT 06340-6622 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney E Wood | 30 New Castle Dr, Shelton, CT 06484-5011 | Nursing Home Administrator | 2020-04-01 ~ 2022-03-31 |
| Shawn T Hallisey | 21 Courtney St, Fall River, MA 02720 | Nursing Home Administrator | 2008-08-27 ~ 2010-08-31 |
| Eleanor Peterson · Bond | 380-16 Meridian St, Groton, CT 06340 | Nursing Home Administrator | 2000-05-03 ~ 2001-04-30 |
| Phillip M Peterson | 2783 Cottonwood La, Pensacola, FL 32514 | Nursing Home Administrator | 1997-11-13 ~ 1999-01-31 |
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
| Richard F Ide | P.o. Box 73, Ashford, CT 06278 | Nursing Home Administrator | 2004-06-07 ~ 2006-04-30 |
| Katie M Lee | 11 Englewood Dr, Manchester, CT 06042-2738 | Nursing Home Administrator | ~ |
| Arunava De | 350 Cobbler Ln, Southbury, CT 06488-4641 | Nursing Home Administrator | ~ |
| Gabriel N Tanwani | Po Box 631, Randallstown, MD 21133-0631 | Nursing Home Administrator | ~ |
Please comment or provide details below to improve the information on COURTNEY L PETERSON.
| 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).