BRIDGET N PETRILLO APRN
Controlled Substance Registration for Practitioner


Address: 4 9th Ave, Branford, CT 06405-5416

BRIDGET N PETRILLO APRN (Credential# 315448) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

BRIDGET N PETRILLO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032456. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 4 9th Ave, Branford, CT 06405-5416. The current status is inactive.

Basic Information

Licensee Name BRIDGET N PETRILLO APRN
Credential ID 315448
Credential Number CSP.0032456
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 9th Ave
Branford
CT 06405-5416
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
680881 12.002703 Advanced Practice Registered Nurse 2002-06-07 2012-09-01 - 2014-08-31 INACTIVE
622492 10.E53557 Registered Nurse 1991-04-01 2013-09-01 - 2014-08-31 INACTIVE

Office Location

Street Address 4 9TH AVE
City BRANFORD
State CT
Zip Code 06405-5416

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Peter M Petrillo 4 9th Ave, Branford, CT 06405 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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Bridget I Earle Md 16-66 Bell Blvd Apt 741, Bayside, NY 10036 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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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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