W SCOTT PETERSON MD (Credential# 148673) 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.
W SCOTT PETERSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007010. 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 87 Grandview Ave, Waterbury, CT 06708-2514. The current status is active.
| Licensee Name | W SCOTT PETERSON MD |
| Credential ID | 148673 |
| Credential Number | CSP.0007010 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
87 Grandview Ave Waterbury CT 06708-2514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542033 | 1.016702 | Physician/Surgeon | 1974-10-15 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 87 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Waterbury Outpatient Surgery Center | 87 Grandview Ave, Waterbury, CT 06708-2514 | Out-patient Surgical Facility | 2019-10-01 ~ 2021-09-30 |
| Richard D Gilbert | 87 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dean J Yimoyines | 87 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward H. Jaccoma | 87 Grandview Ave, Waterbury, CT 06708-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard A Getnick | 87 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jerome C Ramos-esteban Md | 87 Grandview Ave, Waterbury, CT 06708-2514 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Khurram J Malik Md | 87 Grandview Ave, Waterbury, CT 06708-2514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jean M Peterson | 87 Grandview Ave, Waterbury, CT 06708 | Licensed Clinical Social Worker | 2009-03-18 ~ 2009-12-31 |
| Marissa Tutko Od | 87 Grandview Ave, Waterbury, CT 06708 | Optometrist | 2006-02-17 ~ 2007-04-30 |
| John G Yimoyines Od | 87 Grandview Ave, Waterbury, CT 06708-2514 | Optometrist | 1998-09-16 ~ 1999-10-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley S Peterson Md | 61 Rt 138, Somers, NY 10589 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Bridget I Peterson Pa | 7 Elm St Apt 4, Norwalk, CT 06850-3900 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter J M Peterson | 625 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy L Peterson | 21 Johnson St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana A Peterson | 17 Mcneil Cir, Marlborough, MA 01752-1677 | Controlled Substance Registration for Practitioner | 2015-01-09 ~ 2017-02-28 |
| Andrea A Peterson Md | 133 Marne Ave, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard T Peterson Md | 66 Orange St Apt 417, New Haven, CT 06510-3143 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard L Peterson | 31 Warnock Dr, Westport, CT 06880-2206 | Controlled Substance Registration for Practitioner | 2013-05-06 ~ 2015-02-28 |
| Marla J Peterson | 37 Highline Trl, Stamford, CT 06902-1002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jill A Peterson | 9 Sunset Ridge Dr, Guilford, CT 06437-5036 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).