DAVID J PEREGRIM (Credential# 1231711) is licensed (Physician Assistant) 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.
DAVID J PEREGRIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003125. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 27 Brushy Hill Rd, Newtown, CT 06470-2210. The current status is active.
| Licensee Name | DAVID J PEREGRIM |
| Credential ID | 1231711 |
| Credential Number | 23.003125 |
| Credential Type | Physician Assistant |
| Business Address |
27 Brushy Hill Rd Newtown CT 06470-2210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1232995 | CSP.0057907 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 979378 | 70.013145 | Emergency Medical Technician | 2011-01-07 | 2011-01-07 - 2013-06-30 | INACTIVE |
| Street Address | 27 BRUSHY HILL RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-2210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T. Magnussen | 163 Oak St, Southington, CT 06489-3218 | Physician Assistant | 2015-07-01 ~ 2016-06-30 |
| David Malchman Pa | Po Box 372, N Stonington, CT 06359 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| David M Lang | 197 Oak Ave., Cheshire, CT 06410 | Physician Assistant | 2004-03-16 ~ 2005-05-31 |
| David L Ozimek | 631 Millers Way, Simsbury, CT 06070-1994 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| David W Lawler | 211 Ridge Drive, Exeter, RI 02822 | Physician Assistant | ~ |
| David Kotler | 89 Beverly Dr, Avon, CT 06001 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Philip M. Roach Pa | 3 David Dr, Simsbury, CT 06070-3043 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| David Antignani | 180 Patricia Dr, Stratford, CT 06614 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Nina Carusillo | 151 David Rd, Durham, CT 06422-2601 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| David Leake Pa | 151 Durham Rd, Guilford, CT 06437 | Physician Assistant | 2016-04-01 ~ 2017-03-31 |
Please comment or provide details below to improve the information on DAVID J PEREGRIM.
| 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).