PATRICIA K PERRY MD (Credential# 559402) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
PATRICIA K PERRY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041819. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 2625 W Alameda Ave Ste 504, Burbank, CA 91505-4816. The current status is inactive.
Licensee Name | PATRICIA K PERRY MD |
Credential ID | 559402 |
Credential Number | 1.041819 |
Credential Type | Physician/Surgeon |
Business Address |
2625 W Alameda Ave Ste 504 Burbank CA 91505-4816 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-08-29 |
Effective Date | 2014-04-01 |
Expiration Date | 2015-03-31 |
Refresh Date | 2015-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
352945 | CSP.0034107 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-19 - 2015-02-28 | INACTIVE |
Street Address | 2625 W ALAMEDA AVE STE 504 |
City | BURBANK |
State | CA |
Zip Code | 91505-4816 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elisabeth Haddad | 336 North Fairview Street, Burbank, CA 91505 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Quincy Jones Listen Up Foundation | 4000 Warner Blvd., Bldg. 180, Suite 501, Burbank, CA 91505 | Public Charity | 2005-10-01 ~ 2006-05-31 |
Alison L Seno | 930 No Catalina St, Burbank, CA 91505 | Registered Nurse | 1992-10-23 ~ 1993-06-30 |
Rebecca A Naylor | 382 N Hollywood Way, Burbank, CA 91505 | Registered Nurse | 1998-09-11 ~ 1999-09-30 |
Jtw Usa LLC | 10615 Vanowen St, Burbank, CA 91505-1136 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
Spencer E Ross | 3121 W Jeffries Ave, Burbank, CA 91505-1944 | Engineer-in-training | ~ |
St Joseph Medical Equipment Corporation | 2821 W Burbank Blvd, Burbank, CA 91505-2308 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-04-08 ~ 2016-06-30 |
National Assistance Leauge | 3100 W Burbank Blvd Ste 100, Burbank, CA 91505-2348 | Public Charity | 2019-05-01 ~ 2020-04-30 |
Tamara D Voss | 630 N Hollywood Way Apt 110, Burbank, CA 91505-3170 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Therese A Muo | 4141 W Kling St Apt 27, Burbank, CA 91505-3314 | Registered Nurse | 2013-12-18 ~ 2014-10-31 |
Find all Licenses in zip 91505 |
City | BURBANK |
Zip Code | 91505 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BURBANK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Perry G Seese | Ste 218, Atlanta, GA 30329 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Timothy Tan | 135 Perry St Apt 9, New York, NY 10014 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Perry A. Pugno | 158 Merriman Rd, Windsor, CT 06095-1007 | Physician/surgeon | 1982-03-22 ~ 1984-04-30 |
Nicholas A. Perry | 540 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Perry R Stevens Md | 25 Forest St Apt# 11m, Stamford, CT 06901 | Physician/surgeon | 1998-01-20 ~ 1999-03-31 |
Joseph R Perry | 19 Commerce St, Clinton, CT 06413 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Perry M Dansky | 56 Kenmore Rd, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert J Perry | 1 Geiser St, Mystic, CT 06355-3027 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
Richard E Larson | 7 Perry Road, Natick, MA 01760-1625 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
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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).