CHARLES J PETRILLO MD (Credential# 538363) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 23, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.
CHARLES J PETRILLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.004305. The credential type is physician/surgeon. The effective date is April 23, 1998. The expiration date is April 30, 1999. The business address is 21 Groveway, Clinton, CT 06413. The current status is inactive.
Licensee Name | CHARLES J PETRILLO MD |
Credential ID | 538363 |
Credential Number | 1.004305 |
Credential Type | Physician/Surgeon |
Business Address |
21 Groveway Clinton CT 06413 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1941-04-14 |
Effective Date | 1998-04-23 |
Expiration Date | 1999-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148685 | CSP.0007382 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | 21 GROVEWAY |
City | CLINTON |
State | CT |
Zip Code | 06413 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Anthony Macdonald | 147 Shore Road, Clinton, CT 06413 | Architect | 2020-08-01 ~ 2021-07-31 |
Scott W Santiago | 5 Hurd Bridge Road, Clinton, CT 06413 | Real Estate Salesperson | ~ |
Kristopher W Brooks | 93 West Main Street, Clinton, CT 06413 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
James F Schetzel | 25 B River Rd, Clinton, CT 06413 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Amanda Michelle Saren | 7 Grant Place, Clinton, CT 06413 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-12-31 |
Rebecca C Kadel | 118 Long Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Tamara A Potselueva | 10 Hemlock Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Lindt Chocolate Shop #397 · Lindt & Sprungli (usa) Inc | 20-a Killingworth Tpke Space 230, Clinton, CT 06413 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Dana D Striby | 26 Park Drive, Clinton, CT 06413 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Dunkin Donuts | 172 Clinton Rd, Killingworth, CT 06413 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06413 |
City | CLINTON |
Zip Code | 06413 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CLINTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond Joseph Petrillo | 191 Kent Street, Brookline, MA 02146 | Physician/surgeon | 1986-07-11 ~ 1989-06-30 |
Tara C Petrillo-neal · Petrillo's Pasta Grille | 142 Foxon Road, East Haven, CT 06513 | Restaurant Liquor | 2002-03-08 ~ 2003-03-07 |
Petrillo's Pizza | 1317 Boston Post Road, Madison, CT 06443 | Bakery | 2001-07-01 ~ 2002-06-30 |
Ronald A Petrillo · R S Petrillo Co Electrical Contractors | 518 Racebrook Rd, Orange, CT 06477 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Petrillo's Pizza II | 1 Jefferson Road, Branford, CT 06475 | Bakery | 1995-07-01 ~ 1996-06-30 |
Robert J Petrillo | 209 Reeds Gap Rd, Northford, CT 06472-1123 | Resident Physician | 2019-06-28 ~ 2023-06-30 |
Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
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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).