LAWRENCE J PEACOCK (Credential# 1152724) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
LAWRENCE J PEACOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051738. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 25 Crescent St, Portland, ME 04102-3119. The current status is active.
Licensee Name | LAWRENCE J PEACOCK |
Credential ID | 1152724 |
Credential Number | 1.051738 |
Credential Type | Physician/Surgeon |
Business Address |
25 Crescent St Portland ME 04102-3119 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-03-27 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1159225 | CSP.0054537 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 25 CRESCENT ST |
City | PORTLAND |
State | ME |
Zip Code | 04102-3119 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gary E Duford | 53 Chadwick Street, Portland, ME 04102 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Kristen E Culmo | 214 Brackett St, Portland, ME 04102 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Robert J Cleveland | 240 Park Avenue, Portland, ME 04102 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
Alison J Lanman | 40 Mitton Street, Portland, ME 04102 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
Nichole Bickley | 50 County Way, Portland, ME 04102 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
David Washburn · P G Vinyl Windows | 69 Whitney Ave, Portland, ME 04102 | Home Improvement Salesperson | 1996-08-13 ~ 1996-11-30 |
Robert J Rohner · Carpentry and Renovation | 152 Bolton St, Portland, ME 04102 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
David A Lamarche | 91 Neal St, Portland, ME 04102 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
Paul S Stevens | 21 Thomas St, Portland, ME 04102 | Architect | 2014-08-01 ~ 2015-07-31 |
John P Griffin | 195 Fore River Parkway, Portland, ME 04102 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Find all Licenses in zip 04102 |
City | PORTLAND |
Zip Code | 04102 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PORTLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peacock Alley | 2050 Postal Way, Dallas, TX 75212 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-27 ~ 2020-03-27 |
Peacock Properties LLC | 2122 Avalon Drive West, New Canaan, CT 06840 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
Christopher Peacock Kitchens Inc | 151 Greenwich Ave, Greenwich, CT 06830 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
Kitchens Christopher Peacock · Christopher Peacock Kitchens | 151 Greenwich Ave, Greenwich, CT 06830 | Home Improvement Contractor | 1995-09-13 ~ 1996-11-30 |
Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
Ole Vielemeyer | 70 Lawrence Ave Apt #8, New Haven, CT 06511 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
Erik Goluboff | 31 Lawrence Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
Lawrence L Kerns | 124 N Harrisson, Barrington, IL 60010 | Physician/surgeon | ~ |
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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).