JOSHUA S. PETERS PA-C (Credential# 949623) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
JOSHUA S. PETERS PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002458. The credential type is physician assistant. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 512 Saybrook Rd, Middletown, CT 06457. The current status is inactive.
| Licensee Name | JOSHUA S. PETERS PA-C |
| Credential ID | 949623 |
| Credential Number | 23.002458 |
| Credential Type | Physician Assistant |
| Business Address |
512 Saybrook Rd Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-09-13 |
| Effective Date | 2014-06-01 |
| Expiration Date | 2015-05-31 |
| Refresh Date | 2015-09-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 954264 | CSP.0049013 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-27 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 512 Saybrook Rd |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan A Naujoks | 512 Saybrook Rd, Middletown, CT 06457-4788 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert W O'connor Md | 512 Saybrook Rd, Middletown, CT 06457-4788 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Terry F Reardon | 512 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kristina M Amato | 512 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan K Peters-pac | 216 Oxford St, Hartford, CT 06105-2250 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Christie A Heywood | 1400 North Peters Lane, Stratford, CT 06614 | Physician Assistant | 2007-07-12 ~ 2008-01-31 |
| Joshua R Miles Pa-c | 22 Whispering Rod Rd, Unionville, CT 06085-1437 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Joshua I Creaser | 35 Station Rd, Amherst, MA 01002 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Joshua D Dumoch Pa | 540 Litchfield St, Torrington, CT 06790 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Joshua F Clouette | 60 Silo Dr, Wethersfield, CT 06109-2716 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joshua Clay Bailey | 4914 Meade St, Denver, CO 80221 | Physician Assistant | ~ |
| Martin J Kelly | 42 Joshua Lane, Coventry, CT 06238 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Joshua Deay Hannan | 1117 Fern Ave, Brea, CA 92821 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Joshua Paul Branham | 560 West 144th Street, New York, NY 10031 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JOSHUA S. PETERS PA-C.
| 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).