PETRA MARIE ANNE PILGRIM (Credential# 1804968) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 6, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETRA MARIE ANNE PILGRIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072733. The credential type is controlled substance registration for practitioner. The effective date is November 6, 2019. The expiration date is February 28, 2021. The business address is 208 Valley Rd, New Canaan, CT 06840-3812. The current status is active.
| Licensee Name | PETRA MARIE ANNE PILGRIM |
| Credential ID | 1804968 |
| Credential Number | CSP.0072733 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
208 Valley Rd New Canaan CT 06840-3812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-06 |
| Effective Date | 2019-11-06 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1677258 | 1.064556 | Physician/Surgeon | 2019-11-05 | 2020-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 208 VALLEY RD |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-3812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Silver Hill Hospital Inc. · Silver Hill Hospital, Inc. | 208 Valley Rd, New Canaan, CT 06840-3812 | Hospitals for Mentally Ill Persons | 2019-07-01 ~ 2021-06-30 |
| Mark D'agostino | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew James Gerber | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amir Garakani Md | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ashley Lara Valencia | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Kathryn Kristine Myer | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Mary Weathers Case | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Silver Hill Hospital Inc | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Marie Antionette Handler Md | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael D Groat | 208 Valley Rd, New Canaan, CT 06840-3812 | Psychologist | 2019-12-02 ~ 2020-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan E Campbell | 286 Valley Rd, New Canaan, CT 06840-3812 | Paramedic | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne Marie E Arvidson | 1823 Queen Anne Ave N Ste 102, Seattle, WA 98109-2877 | Controlled Substance Registration for Practitioner | 2013-02-27 ~ 2015-02-28 |
| Anne Marie A Roe Md | 824 Palmer Rd Apt 3c, Bronxville, NY 10708-3318 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anne Marie Boustani | 47 Hickory Rd, Woodbridge, CT 06525-1437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne Marie Nock | 382 W Wolcott Ave, Windsor, CT 06095-4336 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne-marie B Spear | 14 Silo Way, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1994-01-25 ~ 1996-02-01 |
| Anne Marie F Villa | 150 Hazard Avenue, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne Marie Grossi Aprn | 59 Calvin French Rd, Sterling, CT 06377 | Controlled Substance Registration for Practitioner | 2011-03-09 ~ 2013-02-28 |
| Anne Marie A Mindoro Corpus Dds | 110 Pine Hill Ave Apt 2, Stamford, CT 06906-1535 | Controlled Substance Registration for Practitioner | 2003-01-27 ~ 2004-02-28 |
| Petra J Razdan | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Petra Jeanne Wilson | 865 Daniels Farm Rd, Trumbull, CT 06611-2601 | Controlled Substance Registration for Practitioner | 2018-12-05 ~ 2021-02-28 |
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| 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).