ELIZABETH M PETERSON (Credential# 478712) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
ELIZABETH M PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042116. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 22 Hadley Village Road, South Hadley, MA 01075. The current status is inactive.
| Licensee Name | ELIZABETH M PETERSON |
| Credential ID | 478712 |
| Credential Number | CSP.0042116 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Hadley Village Road South Hadley MA 01075 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-09-25 |
| Effective Date | 2008-03-01 |
| Expiration Date | 2009-02-28 |
| Refresh Date | 2011-01-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 763348 | 3.002720 | Optometrist | 2007-07-17 | 2007-11-19 - 2009-01-31 | INACTIVE |
| Street Address | 22 HADLEY VILLAGE ROAD |
| City | SOUTH HADLEY |
| State | MA |
| Zip Code | 01075 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
| Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
| Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
| Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
| Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01075 | |||
| City | SOUTH HADLEY |
| Zip Code | 01075 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH HADLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley S Peterson Md | 61 Rt 138, Somers, NY 10589 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Bridget I Peterson Pa | 7 Elm St Apt 4, Norwalk, CT 06850-3900 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Richard L Peterson | 31 Warnock Dr, Westport, CT 06880-2206 | Controlled Substance Registration for Practitioner | 2013-05-06 ~ 2015-02-28 |
| Andrea A Peterson Md | 133 Marne Ave, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marla J Peterson | 37 Highline Trl, Stamford, CT 06902-1002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Richard T Peterson Md | 66 Orange St Apt 417, New Haven, CT 06510-3143 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wendy L Peterson | 21 Johnson St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| W Scott Peterson Md | 87 Grandview Ave, Waterbury, CT 06708-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana A Peterson | 17 Mcneil Cir, Marlborough, MA 01752-1677 | Controlled Substance Registration for Practitioner | 2015-01-09 ~ 2017-02-28 |
| Peter J M Peterson | 625 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH M PETERSON.
| 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).