PETER JOHN OBOURN (Credential# 1472400) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is October 31, 2018. The license status is INACTIVE.
PETER JOHN OBOURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060487-DO. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is October 31, 2018. The business address is 55 Trumbull Street, Hartford, CT 06103. The current status is inactive.
| Licensee Name | PETER JOHN OBOURN |
| Credential ID | 1472400 |
| Credential Number | 1.060487-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
55 Trumbull Street Hartford CT 06103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-05-01 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| Street Address | 55 Trumbull Street |
| City | Hartford |
| State | CT |
| Zip Code | 06103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Joyce M Evardone Md | 55 Trumbull Street, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kari Sobolewski | 55 Trumbull Street, Hartford, CT 06103 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Ritika S Chandra | 55 Trumbull Street, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacob Michael Brandon | 55 Trumbull Street, Hartford, CT 06103 | Notary Public Appointment | 2012-04-02 ~ 2017-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sutherland Pinot Noir | Connecicut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2020-09-01 ~ 2023-08-30 |
| Subway of Union Station Hartford | 1 Union Pl, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Main St | 493 Main St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Downtown Hartford | 65 Asylum St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alba Lucia Correa Ortiz | 427 Church St, Hartford, CT 06103 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jeffrey L Cohen | One State St., Hartford, CT 06103 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas Kim | 111 Pearl Street #515, Hartford, CT 06103 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Christina Dorry | 915 Main St Apt 602, Hartford, CT 06103 | Barber | 2020-09-01 ~ 2022-08-31 |
| 360 Mango Flavored Vodka | Connecticut Brand Reigstration, Hartford, CT 06103 | Liquor Brand Label | 2020-08-02 ~ 2023-07-31 |
| Margarita Toro · Bashners Market | 1293 Main St, Hartford, CT 06103 | Package Store Liquor | 2020-07-26 ~ 2021-07-25 |
| Find all Licenses in zip 06103 | |||
| City | Hartford |
| Zip Code | 06103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Obourn | 94 Buckhorn Rd, Bloomsburg, PA 17815-9705 | Controlled Substance Registration for Practitioner | 2017-05-31 ~ 2019-02-28 |
| Peter John Gruber | 668 Milton Rd Apt A, Rye, NY 10580-3227 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter John Vasquez | 5500 Maryland Way Ste 400, Brentwood, TN 37027-7048 | Physician/surgeon | 2020-01-29 ~ 2020-09-30 |
| Peter John Drennan | 701 Enfield Street, Enfield, CT 06082 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
| Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
| Peter G Markos | P.o.box 732 (5-l), Dover, NH 03821-0732 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on PETER JOHN OBOURN.
| 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).