PETER JOSEPH LOPEZ PA (Credential# 742505) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETER JOSEPH LOPEZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000756. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 63 Pinacle Rd, Glastonbury, CT 06033-2521. The current status is active.
| Licensee Name | PETER JOSEPH LOPEZ PA |
| Credential ID | 742505 |
| Credential Number | 23.000756 |
| Credential Type | Physician Assistant |
| Business Address |
63 Pinacle Rd Glastonbury CT 06033-2521 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159049 | CSP.0027228 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 63 PINACLE RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2521 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen M Lopez | 747 3rd St Ne, Washington, DC 20002-4311 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Nancy Lopez Pa | 815 South Rd, Westbrookville, NY 12785-0448 | Physician Assistant | 2015-08-01 ~ 2016-07-31 |
| George A Lopez Pa | 1759 W End Ave, New Hyde Park, NY 11040-4024 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristina Lopez | 109 Kaye Vue Drive, Hamden, CT 06514 | Physician Assistant | ~ 1996-01-31 |
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Joseph Lopez | 129 W Montgomery St, Baltimore, MD 21230-3629 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
| Peter Zhang | 213 Ramapoo Rd, Ridgefield, CT 06877-3734 | Physician Assistant | ~ |
| Peter N Fish | 222 Riverside Dr Apt 3f, New York, NY 10025 | Physician Assistant | 2005-01-28 ~ 2006-03-31 |
| Peter A Rosenblum | 12301 Ne Olive Dr, Kingston, WA 98346-9266 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).