PETER J GRUCA (Credential# 742764) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
PETER J GRUCA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001015. The credential type is physician assistant. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 7 Deerfield Ln, South Windsor, CT 06074-2832. The current status is inactive.
| Licensee Name | PETER J GRUCA |
| Credential ID | 742764 |
| Credential Number | 23.001015 |
| Credential Type | Physician Assistant |
| Business Address |
7 Deerfield Ln South Windsor CT 06074-2832 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-11-08 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 250003 | CSP.0030350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 7 DEERFIELD LN |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2832 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emery Chase Management LLC · Zewski Brothers Remodeling | 29 Deerfield Ln, South Windsor, CT 06074-2832 | Home Improvement Contractor | 2019-12-10 ~ 2020-11-30 |
| Steven M Foley | 17 Deerfield Ln, South Windsor, CT 06074-2832 | Plumbing & Piping Unlimited Journeyperson | 2012-12-14 ~ 2013-10-31 |
| Jessica M Foley | 17 Deerfield Ln, South Windsor, CT 06074-2832 | Hairdresser/cosmetician | 2008-03-04 ~ 2010-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 Joseph Lopez Pa | 63 Pinacle Rd, Glastonbury, CT 06033-2521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Peter S Nelson Pa | 64 Winding Lane, Avon, CT 06001 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Peter A Michaud Pa | 107 Dean Street, Stamford, CT 06902 | Physician Assistant | 2000-08-01 ~ 2001-07-31 |
| Peter A Rosenblum | 12301 Ne Olive Dr, Kingston, WA 98346-9266 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Peter A Davis | 75 Eastern Point Rd., Groton, CT 06340 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Peter J. Kowalski | 6242 Sturbridge Court, Sarasota, FL 34238 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Peter S Sandor Pa | 10 Deer Run Road, North Haven, CT 06473 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Alexander Peter Zelez | 383 Olde Stage Road, Glastonbury, CT 06033 | Physician Assistant | 2019-09-09 ~ 2020-06-30 |
Please comment or provide details below to improve the information on PETER J GRUCA.
| 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).