WILLIAM JOHN PERILLO
Physician/surgeon


Address: 28 Sidlaw Rd Apt 1, Brighton, MA 02135-5425

WILLIAM JOHN PERILLO (Credential# 2011160) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 3, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

WILLIAM JOHN PERILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065146. The credential type is physician/surgeon. The effective date is April 3, 2020. The expiration date is April 30, 2021. The business address is 28 Sidlaw Rd Apt 1, Brighton, MA 02135-5425. The current status is active.

Basic Information

Licensee Name WILLIAM JOHN PERILLO
Credential ID 2011160
Credential Number 1.065146
Credential Type Physician/Surgeon
Business Address 28 Sidlaw Rd Apt 1
Brighton
MA 02135-5425
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-03
Effective Date 2020-04-03
Expiration Date 2021-04-30
Refresh Date 2020-04-04

Other licenses

ID Credential Code Credential Type Issue Term Status
2041184 CSP.0073841 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-04-30 2020-04-30 - 2021-02-28 ACTIVE

Office Location

Street Address 28 SIDLAW RD APT 1
City BRIGHTON
State MA
Zip Code 02135-5425

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Mohammed H Hassoun 697 Cambridge St, Unit 103, Brighton, MA 02135 Pharmacist 2020-02-01 ~ 2022-01-31
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Margaret Choy Merola 1380 Soldiers Field, Boston, MA 02135 Physician/surgeon 2020-03-01 ~ 2021-02-28
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Competitor

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City BRIGHTON
Zip Code 02135
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRIGHTON

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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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