PETER K STEVENS (Credential# 1281970) is licensed (Physician/surgeon) 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.
PETER K STEVENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054731-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 16 Emerson Ave, Harrison, NY 10528-3331. The current status is active.
| Licensee Name | PETER K STEVENS |
| Credential ID | 1281970 |
| Credential Number | 1.054731-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
16 Emerson Ave Harrison NY 10528-3331 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-26 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1311988 | CSP.0061503 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 EMERSON AVE |
| City | HARRISON |
| State | NY |
| Zip Code | 10528-3331 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elaina Bongiovanni | 50 West Street Unit B 5 A, Harrison, NY 10528 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Eugene K Haviland | 33 Hyatt Avenue, Harrison, NY 10528 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Elvira Iaropoli | 153 Adelphi Ave, Harrison, NY 10528 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathy Ujka | 480 Halstead Ave 4p, Harrison, NY 10528 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Frances J Misuriello | 87 Post Place, Harrison, NY 10528 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Spencer A Lutchen | 12 Westwood Drive, Harrison, NY 10528 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Nina M Parakadavil | 70 West Street, Apt C-14, Harrison, NY 10528 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Muhammad S Ahmed | 166 Fremont Street, Harrison, NY 10528 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
| Kimberley Lambertson | 71 Thatcher Avenue, Harrison, NY 10528 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Eileen Sacharski Md | 28 Harrison Ave, Harrison, NY 10528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10528 | |||
| City | HARRISON |
| Zip Code | 10528 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARRISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy W Stevens | 31 Yowago Ave, Branford, CT 06405-5526 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Paul J � Braon�in | 14 Stevens Ln, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James E Babashak Md | 24 Stevens St, Norwalk, CT 06850 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tuula I J Fabrizio Md | 42 Stevens St, Norwalk, CT 06850 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| William A Stevens Md | 55 Lords Hwy, Weston, CT 06883 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Hanna E Stevens Md | 230 S. Frontage Rd, New Haven, CT 06519 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Seth A Gross Md | 30 Stevens St Ste D, Norwalk, CT 06850-3859 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Caroline P Kurtz | 30 Stevens St Ste C, Norwalk, CT 06850-3859 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Horace A Laffaye | 24 Stevens St, Norwalk, CT 06856 | Physician/surgeon | 2005-03-17 ~ 2006-05-31 |
| Richard C Frank Md | 24 Stevens St, Norwalk, CT 06856 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).