CHARLES J PETRILLO MD
Physician/surgeon


Address: 21 Groveway, Clinton, CT 06413

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
148685 CSP.0007382 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 21 GROVEWAY
City CLINTON
State CT
Zip Code 06413

Licenses in the same zip code

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
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Competitor

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City CLINTON
Zip Code 06413
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CLINTON

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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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