JENNIFER B PERONE MD
Physician/surgeon


Address: 45 Nye Road, Glastonbury, CT 06033

JENNIFER B PERONE MD (Credential# 559006) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.

Business Overview

JENNIFER B PERONE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041423. The credential type is physician/surgeon. The effective date is April 13, 2004. The expiration date is May 31, 2005. The business address is 45 Nye Road, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name JENNIFER B PERONE MD
Credential ID 559006
Credential Number 1.041423
Credential Type Physician/Surgeon
Business Address 45 Nye Road
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-05-01
Effective Date 2004-04-13
Expiration Date 2005-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
341075 CSP.0033663 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 45 NYE ROAD
City GLASTONBURY
State CT
Zip Code 06033

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLASTONBURY

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Licensee Name Office Address Credential Effective / Expiration
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Jennifer L Bau 1 Guthrie Sq, Sayre, PA 18840-1625 Physician/surgeon 2017-03-01 ~ 2018-02-28
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Jennifer N Mccallister 14 Colby Way, Avon, CT 06001 Physician/surgeon 2020-06-01 ~ 2021-05-31
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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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