ROBERT A PERAINO MD (Credential# 1159396) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT A PERAINO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054551. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 129 Old County Rd, Franconia, NH 03580. The current status is active.
Licensee Name | ROBERT A PERAINO MD |
Credential ID | 1159396 |
Credential Number | CSP.0054551 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
129 Old County Rd Franconia NH 03580 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-04-22 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560099 | 1.042517 | Physician/Surgeon | 2004-06-03 | 2019-12-01 - 2020-11-30 | ACTIVE |
414362 | CSP.0038077 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-25 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 129 OLD COUNTY RD |
City | FRANCONIA |
State | NH |
Zip Code | 03580 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen W Lucas | 249 Old County Road, Franconia, NH 03580 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
Patricia Blair | P.o. Box 275, Franconia, NH 03580 | Hairdresser/cosmetician | 2011-01-01 ~ 2012-12-31 |
Ardell Patterson | 71 Valleyview Rd, Easton, NH 03580 | Registered Nurse | 1994-08-22 ~ 1995-09-30 |
Grateful Bread · Quality Bakery | Po Box 467, Franconia, NH 03580 | Bakery | 1998-07-01 ~ 1999-06-30 |
Adaptive Sports Partners of The North Co | Po Box 304, Franconia, NH 03580-0304 | Public Charity | 2019-09-01 ~ 2020-08-31 |
Pearl Lake Distributors LLC · Pax Wine Cellars | 760 Main St, Franconia, NH 03580-4817 | Out of State Shipper Liquor | 2019-07-11 ~ 2020-07-10 |
Thomas M Childs | 191 Lafayette Rd, Franconia, NH 03580-5009 | Registered Nurse | 2013-11-04 ~ 2014-07-31 |
City | FRANCONIA |
Zip Code | 03580 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FRANCONIA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert F Maier | 9 Robert Street, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Robert C. Piela | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 | |
Robert J Conrad Md | Po Box 747, Koloa, HI 96756 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Lee Pu Md | 33-c Robert Treat Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1996-01-10 ~ 1997-02-28 |
Robert W Slauch | Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert S Madenjian | P O Box 285, Brooklyn, CT 06234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert Strange Pa | P.o. Box 847, Wellfleet, MA 02667-0847 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Robert Lam | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-08-07 ~ 2021-02-28 |
Robert L Trestman | 7 Ann Mar Ln, Simsbury, CT 06070-1132 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Robert A Dix Dds | 134 Old Ridgefield Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).