GREGORY N PETERSON (Credential# 554089) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
GREGORY N PETERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036498. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 47 Walkley Road, West Hartford, CT 06119. The current status is active.
| Licensee Name | GREGORY N PETERSON |
| Credential ID | 554089 |
| Credential Number | 1.036498 |
| Credential Type | Physician/Surgeon |
| Business Address |
47 Walkley Road West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-11-21 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 189890 | CSP.0026369 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 47 WALKLEY ROAD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig Peterson · Craig Peterson Tile & Construction | 10 Gregory Blvd, Norwalk, CT 06855 | Home Improvement Contractor | 2007-05-31 ~ 2007-11-30 |
| Arnold W. Peterson Md | 999 Silver Ln Fl 3, Trumbull, CT 06611-5343 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kent W Peterson | 901 Preston Ave, Ste.400, Charlottsville, VA 22903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carl G Peterson Jr | 155 Edgemere Way So, Naples, FL 34105 | Physician/surgeon | 1997-08-18 ~ 1998-10-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shannon C Peterson | 42 Sulgrave Rd, West Hartford, CT 06107 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Richard C Peterson | 24a Heritage Crest, Southbury, CT 06488 | Physician/surgeon | 2008-08-18 ~ 2009-08-31 |
| Judd Boloker Md | St Joe's Children's Hospital/div of Neonatology, Peterson, NJ 07503 | Physician/surgeon | 2004-02-19 ~ 2005-02-28 |
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory H. Adkisson | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on GREGORY N 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).