PETER PEGOLO OD (Credential# 763076) is licensed (Optometrist) 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.
PETER PEGOLO OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002448. The credential type is optometrist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 612b Quaker Ln S, West Hartford, CT 06110-1027. The current status is active.
Licensee Name | PETER PEGOLO OD |
Credential ID | 763076 |
Credential Number | 3.002448 |
Credential Type | Optometrist |
Business Address |
612b Quaker Ln S West Hartford CT 06110-1027 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1997-07-03 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
185884 | CSP.0025877 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 612B QUAKER LN S |
City | WEST HARTFORD |
State | CT |
Zip Code | 06110-1027 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Colasurdo | 612b Quaker Ln S, West Hartford, CT 06110-1027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lincare Inc | 10 Grassmere Avenue, West Hartford, CT 06110-1027 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Jacob Z Studenroth · Wise Old Dog (the) | 612 A Quaker Ln S, West Hartford, CT 06110-1027 | Package Store Liquor | 2020-02-27 ~ 2021-02-26 |
Wise Old Dog (the) | 612 Quaker Ln S, West Hartford, CT 06110-1027 | Lottery Sales Agent | 2020-01-07 ~ 2021-03-31 |
Jacob Z Studenroth · Off The Wagon | 612 Quaker Ln S, West Hartford, CT 06110-1027 | Caterer | 2019-06-13 ~ 2020-10-12 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06110 |
City | WEST HARTFORD |
Zip Code | 06110 |
License Type | Optometrist |
License Type + County | Optometrist + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason T St Peter | Po Box 767, Stockbridge, MA 01262-0767 | Optometrist | 2020-03-01 ~ 2021-02-28 |
Peter A Link | 5 School St, Bethel, CT 06801-1854 | Optometrist | 2020-06-01 ~ 2021-05-31 |
Peter J Stein | 600 New Haven Ave, Derby, CT 06418-2507 | Optometrist | 2020-04-01 ~ 2021-03-31 |
Amy B Stein Od | 5 Peter Cooper Rd Apt 10f, New York, NY 10010-6624 | Optometrist | 2018-09-01 ~ 2019-08-31 |
Peter M Kumpitch | 14b Norregada, St Thomas, 00801 | Optometrist | 2003-10-17 ~ 2004-11-30 |
Peter A Silver | 2590 Frisby Ave, Bronx, NY 10461-3240 | Optometrist | 2020-03-01 ~ 2021-02-28 |
Peter A Lemkin | 1608 Eastlake Way, Ft Lauderdale, FL 33326 | Optometrist | 1998-12-14 ~ 1999-12-31 |
Peter L Guhl | 4102 Route 17, Grafton, VA 23692 | Optometrist | 1994-07-25 ~ 1995-05-31 |
Ryan Pegolo | 56 Collins St, Stratford, CT 06614-5313 | Chiropractor | 2020-06-16 ~ 2020-08-31 |
Matthew Pegolo | 49 High St, Portland, CT 06480-1669 | Architect | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on PETER PEGOLO OD.
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).