PETER S VACLAVIK MD (Credential# 561623) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 16, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.
PETER S VACLAVIK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044041. The credential type is physician/surgeon. The effective date is March 16, 2007. The expiration date is May 31, 2008. The business address is 509e Woodward Ave, New Haven, CT 06512. The current status is inactive.
| Licensee Name | PETER S VACLAVIK MD |
| Credential ID | 561623 |
| Credential Number | 1.044041 |
| Credential Type | Physician/Surgeon |
| Business Address |
509e Woodward Ave New Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-01-27 |
| Effective Date | 2007-03-16 |
| Expiration Date | 2008-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380582 | CSP.0036027 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-12 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 509E WOODWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Vaclavik · Gemer Construction | 5 Red Fox Ln, New Milford, CT 06776 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
| Peter M Dean Md | Rr 1 Box 296, Woodstock, VT 05091-9507 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
| Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
| Peter A Migaly | P.o.box 237, Blairsville, PA 15717-0237 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
| Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on PETER S VACLAVIK MD.
| 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).