RUBEN PERALTA (Credential# 560392) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
RUBEN PERALTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042810. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2 Brookshire Rd, Worcester, MA 01609. The current status is active.
| Licensee Name | RUBEN PERALTA |
| Credential ID | 560392 |
| Credential Number | 1.042810 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Brookshire Rd Worcester MA 01609 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 385464 | CSP.0036558 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-04 | 2004-10-04 - 2005-02-28 | INACTIVE |
| Street Address | 2 Brookshire Rd |
| City | Worcester |
| State | MA |
| Zip Code | 01609 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phuc Hong Tran | 81 Russell Street Apt#3, Worcester, MA 01609 | Nail Technician | ~ |
| Dominic J Nompleggi Md | 7 Aylebury Road, Worcester, MA 01609 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mavis Amankwah | 11 Sever Street, Worcester, MA 01609 | Advanced Practice Registered Nurse | ~ |
| Celena E Adjei | 48 Carter Rd, Worcester, MA 01609 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Cheryl A Knowlton | 80 Forest Street, Worcester, MA 01609 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Whitney J Parker | 32 Montclair Dr, Worcester, MA 01609 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Diana Rehnuma Lasker | 18 Ashland St Apt 1r, Worcester, MA 01609 | Pharmacy Intern | 2019-10-03 ~ 2020-09-30 |
| Four Trees Management, Co. | 30 Somerset Street, Worcester, MA 01609 | Securities - Exemptions | 2019-09-17 ~ |
| Margarita C Menocal | 6 Surray Lane, Worcester, MA 01609 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
| Michael R Pauk | 67 Highland Street, Worcester, MA 01609 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01609 | |||
| City | Worcester |
| Zip Code | 01609 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Worcester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brannon Peralta | 260 W 54th St Apt 29c, New York, NY 10019 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alejandro Peralta Soler | 15 Crawford St, Needham, MA 02494 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Richard S Ruben Md | 90 Locust Ave, Danbury, CT 06810 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ruben Mendoza | 20 Memory Ln, Fairfield, CT 06824 | Physician/surgeon | 2006-12-19 ~ 2008-02-29 |
| Martha Severino-peralta | 52 Erickson Road, New Milford, CT 06776 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ruben Kier Md | Advanced Radiology, Shelton, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Ruben A Quintero | Hutzel Hospital, Detroit, MI 48201 | Physician/surgeon | 1994-04-13 ~ 1997-06-30 |
| Ruben L Shapiro | 15 Turnberry Lane, Bloomfield, CT 06002 | Physician/surgeon | 2008-12-12 ~ 2009-12-31 |
| Edgar T De Peralta | 255 Evernia Street #311, West Palm Beach, FL 33401 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dinabel Peralta-reich | 507 East 80th Street, # 6-r, New York, NY | Physician/surgeon | 2009-10-02 ~ 2010-06-30 |
Please comment or provide details below to improve the information on RUBEN 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).