TONY L PETERSON DDS
Controlled Substance Registration for Practitioner


Address: Naval Ambulatory Care Center, Groton, CT 06349-5600

TONY L PETERSON DDS (Credential# 417120) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

TONY L PETERSON DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038365. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is Naval Ambulatory Care Center, Groton, CT 06349-5600. The current status is inactive.

Basic Information

Licensee Name TONY L PETERSON DDS
Credential ID 417120
Credential Number CSP.0038365
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Naval Ambulatory Care Center
Groton
CT 06349-5600
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-19
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address NAVAL AMBULATORY CARE CENTER
City GROTON
State CT
Zip Code 06349-5600

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Joel W Larcombe Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Mark W Gesell Md Naval Ambulatory Care Center, Groton, CT 06349 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Joseph C Finley Jr Naval Ambulatory Care Center, Groton, CT 06349 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
John W Dorunda Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Anil Taneja Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Physician/surgeon 2007-01-16 ~ 2007-11-30
Mario H Diaz Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
Philip A Miceli Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2006-03-17 ~ 2007-02-28
Peter Pogacar Naval Ambulatory Care Center, Groton, CT 06340 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
George A Pazos Md Naval Ambulatory Care Center, Groton, CT 06349 Controlled Substance Registration for Practitioner 2005-03-21 ~ 2006-02-28
James D Crowther Md Naval Ambulatory Care Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Daryl C Ranton Nav Hosp Box 600, Groton, CT 06349-5600 Registered Nurse 1996-07-16 ~ 1997-09-30
Christopher L Willey Box 600, Naval Hospital, Groton, CT 06349-5600 Emergency Medical Technician ~ 1993-10-01
Mark J Caci Naval Hospital, Box 334, Groton, CT 06349-5600 Emergency Medical Technician ~ 1995-07-01
Richard K Webster Box 600 Nursing Services, Groton, CT 06349-5600 Emergency Medical Technician ~ 1993-07-01
Kristin E Carleo Naval Hosp., Box 600-dental, Groton, CT 06349-5600 Emergency Medical Technician ~ 1993-10-01
Brian S Nogle Naval Hospital, P.o. Box 600, Groton, CT 06349-5600 Emergency Medical Technician ~ 1993-10-01
Shannon D Dishner Naval Hospital, Box 600, Sub Base, Groton, CT 06349-5600 Emergency Medical Technician ~ 1993-10-01
Ronald R Rasmussen Md Naval Ambulatory Care, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
Matthew W Nicola Md Naval Ambulatory Center, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 2001-03-01 ~ 2002-02-28
Charles A Ciccone M.d. Naval Ambulatory Care Clinic, Groton, CT 06349-5600 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
Find all Licenses in zip 06349-5600

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Geoffrey Miles Schnirman 1 Wahoo Avenue, Groton, CT 06349 Psychologist ~
Herb J Carlon 49 Golf Street, Groton, CT 06349 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Shariff Sanchez 239 Laurel Hill Avenue, Norwich, CT 06349 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Renee F Dunn · James Bldg 83 Box 93, Groton, CT 06349 Licensed Clinical Social Worker 2019-11-01 ~ 2020-10-31
Pearle Vision #c439 Building 484, Groton, CT 06349 Optical Selling Permit 2019-09-05 ~ 2020-08-31
Shahiah Gibson 43 South Rd Apt 43-12b, Groton, CT 06349 Medication Administration Certification ~
Taco Bell/pizza Hut/tcby Treats · Tacala North Inc 86 Ella Grasso Tpke, Windsor Locks, CT 06349 Bakery 2000-07-01 ~ 2001-06-30
International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 Po Box 5003, Groton, CT 06349 Public Charity 2013-06-07 ~ 2014-11-30
Wayne K Scali 368 C Tulibee Dr, Groton, CT 06349 Physician/surgeon 1987-08-14 ~ 1990-08-31
Wendy A Rossi Nacc, Groton, CT 06349 Registered Nurse 2002-07-01 ~ 2003-06-30
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Competitor

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City GROTON
Zip Code 06349
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON

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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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