MARJORIE PETRO (Credential# 543167) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.
MARJORIE PETRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019844. The credential type is physician/surgeon. The effective date is December 1, 2013. The expiration date is November 30, 2014. The business address is 53 Sawmill Brook Lane, Mansfield Center, CT 06250. The current status is inactive.
| Licensee Name | MARJORIE PETRO |
| Credential ID | 543167 |
| Credential Number | 1.019844 |
| Credential Type | Physician/Surgeon |
| Business Address |
53 Sawmill Brook Lane Mansfield Center CT 06250 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1978-05-19 |
| Effective Date | 2013-12-01 |
| Expiration Date | 2014-11-30 |
| Refresh Date | 2015-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159506 | CSP.0020170 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE | |
| 1843782 | SNPC.0071138 | Notary Public Appointment | 1964-11-04 | 1984-12-01 - 1989-03-31 | INACTIVE |
| Street Address | 53 SAWMILL BROOK LANE |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjorie Petro Md | 53 Sawmill Brook Lane, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjorie G Petro | 111 Park Street, New Haven, CT 06500 | Notary Public Appointment | 1979-12-01 ~ 1984-03-31 |
| Petro Inc · Kasden Fuel Company, Petro Home Services | 9 W Broad St Ste 3, Stamford, CT 06902-3734 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Robert Petro · Petro Remodeling | 21 Middle St, Waterbury, CT 06706 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Marjorie Petro Md | 53 Sawmill Brook Lane, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nasifa Nur | 8 Marjorie St, Attleboro, MA 02703-4904 | Physician/surgeon | 2019-09-30 ~ 2020-07-31 |
| Marjorie K Stock | P.o. Box 1104, Dover, NH 03820 | Physician/surgeon | 1995-11-13 ~ 1996-12-31 |
| Marjorie S Siebert | 371 Broadway #115, Brooklyn, NY 11211 | Physician/surgeon | 1997-10-09 ~ 1998-10-31 |
| Marjorie L. Barnett | 5 Nottingham Ter, Buffalo, NY 14216-3619 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Marjorie S Rosenthal Md | 333 Cedar St, New Haven, CT 06510-8088 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marjorie D Newport Md | 21 Wetherbee St, Acton, MA 01720 | Physician/surgeon | ~ 1997-08-31 |
Please comment or provide details below to improve the information on MARJORIE PETRO.
| 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).