PEGGY W WU (Credential# 1122420) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
PEGGY W WU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053699. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 30 Camelot Dr, Shrewsbury, MA 01545-7741. The current status is inactive.
| Licensee Name | PEGGY W WU |
| Credential ID | 1122420 |
| Credential Number | CSP.0053699 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Camelot Dr Shrewsbury MA 01545-7741 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-09-17 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1116113 | 1.051360 | Physician/Surgeon | 2012-09-06 | 2015-12-01 - 2016-11-30 | INACTIVE |
| Street Address | 30 CAMELOT DR |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-7741 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven C Jennette | 19 Rockwell Drive, Shrewsbury, MA 01545 | Architect | 2020-08-01 ~ 2021-07-31 |
| Traci L Magliozzi · Testa | 103 Stoney Hill Rd, Shrewsbury, MA 01545 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Geetanjali Virmani | 31 Hawthorne Road, Shrewsbury, MA 01545 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara M Jaszczur | 11 Turtle Creek Circle, Shrewsbury, MA 01545 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michelle R Stumm | 9 Sycamore Road, Shrewsbury, MA 01545 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mireya Wessolossky | 9 Old Farm Circle, Shrewsbury, MA 01545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Esther Kinuthia | Po Box 4436, Shrewsbury, MA 01545 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Pooja Laxminarayan Jangid | 16 Thestland Dr., Shrewsbury, MA 01545 | Physical Therapist | ~ |
| Laura A Ames | 9 Chartwell Circle, Shrewsbury, MA 01545 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
| Grisham M Bryan | 30 Stonybrook Lane, Shrewsbury, MA 01545 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Find all Licenses in zip 01545 | |||
| City | SHREWSBURY |
| Zip Code | 01545 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHREWSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peggy H Fishman Md | 24 Taylor Pl, Westport, CT 06880-4313 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Peggy Ku Do | 15 Coolidge Rd, West Hartford, CT 06117-2319 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peggy H Fujimura | 468 Flanders Rd, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peggy P Chen | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Peggy Rubio O'connor | 65 Michael Rd, Hamden, CT 06514-4504 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peggy Geimer Md | 21 Wooddale Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peggy Benzing-larkin | 110 Music Vale Rd, Salem, CT 06420 | Controlled Substance Registration for Practitioner | 1996-07-02 ~ 1997-02-28 |
| Peggy Myung | 15 York St Hrt 618c, New Haven, CT 06510-3221 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on PEGGY W WU.
| 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).