KAREN M PETROK (Credential# 179526) 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.
KAREN M PETROK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025604. 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 29 Wayland Ave, Waterbury, CT 06708. The current status is active.
| Licensee Name | KAREN M PETROK |
| Credential ID | 179526 |
| Credential Number | CSP.0025604 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
29 Wayland Ave Waterbury CT 06708 |
| 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 | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 616921 | 10.E47385 | Registered Nurse | 1984-08-30 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 679752 | 12.001573 | Advanced Practice Registered Nurse | 1997-05-09 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 29 WAYLAND AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen M Tie | 215 N Market St Apt 317, Wilmington, DE 19801-2563 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen Y Mechanic Md | 81 Kenwood Ave, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Karen L Morrissey | 207 Farrell Rd, Waterbury, CT 06706-2330 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Karen M Soika | 23 Nicholas Ave, Greenwich, CT 06831-4923 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Karen H Stickney | 87 Duncaster Rd, Bloomfield, CT 06002-1500 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen Justiniano | 424 Clubhouse Rd Apt 3, Vestal, NY 13850-3728 | Controlled Substance Registration for Practitioner | 2020-05-05 ~ 2021-02-28 |
| Karen H Henault | 182 High St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karen Mcarthur | 90 S Main St, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Karen Morgan | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-16 ~ 2013-02-28 |
| Karen Kennedy Md | 166 Waterbury Rd Ste 202, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KAREN M PETROK.
| 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).