MARTHA SEVERINO-PERALTA (Credential# 557607) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MARTHA SEVERINO-PERALTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040024. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 52 Erickson Road, New Milford, CT 06776. The current status is active.
| Licensee Name | MARTHA SEVERINO-PERALTA |
| Credential ID | 557607 |
| Credential Number | 1.040024 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Erickson Road New Milford CT 06776 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-12-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742092 | 23.000343 | Physician Assistant | 1993-11-05 | 2002-03-18 - 2003-04-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha Severino-peralta | 67 Sandpit Road Suite 202, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Street Address | 52 Erickson Road |
| City | New Milford |
| State | CT |
| Zip Code | 06776 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Ouellette | 52 Erickson Road, New Milford, CT 06776 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | New Milford |
| Zip Code | 06776 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Severino IIi · Severino Bldrs Inc C/r | 135 Blueberry Road, Trumbull, CT 06611 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Brannon Peralta | 260 W 54th St Apt 29c, New York, NY 10019 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ruben Peralta | 2 Brookshire Rd, Worcester, MA 01609 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alejandro Peralta Soler | 15 Crawford St, Needham, MA 02494 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Dinabel Peralta-reich | 507 East 80th Street, # 6-r, New York, NY | Physician/surgeon | 2009-10-02 ~ 2010-06-30 |
| Edgar T De Peralta | 255 Evernia Street #311, West Palm Beach, FL 33401 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Martha Praught | 131 Birch St, Roslindale, MA 02131-3431 | Physician/surgeon | 1987-03-13 ~ 1992-03-31 |
| Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Martha Buitrago Md | 36 Lincoln St, New Haven, CT 06511 | Physician/surgeon | 2002-01-24 ~ 2003-02-28 |
| Martha A Howard Md | 206 Church St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MARTHA SEVERINO-PERALTA.
| 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).