NEIL F PETERSEN (Credential# 156636) 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.
NEIL F PETERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016508. 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 433 Highland Dr, Waterbury, CT 06708-3651. The current status is active.
| Licensee Name | NEIL F PETERSEN |
| Credential ID | 156636 |
| Credential Number | CSP.0016508 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
433 Highland Dr Waterbury CT 06708-3651 |
| 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 | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547677 | 1.029266 | Physician/Surgeon | 1988-07-15 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 303866 | CSP.0031970 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-15 - 2003-02-28 | INACTIVE |
| Street Address | 433 HIGHLAND DR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3651 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Elizabeth Albretsen | 387 Highland Dr, Waterbury, CT 06708-3651 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John Constanti | 469 Highland Dr, Waterbury, CT 06708-3651 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| John M Laforme Jr | 387 Highland Dr, Waterbury, CT 06708-3651 | Medical Marijuana Producer Employee | 2020-05-12 ~ 2021-05-12 |
| 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 |
|---|---|---|---|
| Nils H Petersen | 100 Golden Hill Dr, Guilford, CT 06437-2198 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine A Petersen | 102 Pine Hill Ave Apt A1, Stamford, CT 06906-1533 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Pamela J Petersen-crair Md | 20 York St Fitkin 615, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil S Nichols Md | 167 Purchase St, Rye, NY 10580-2171 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Neil S Weintraub Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Neil S Kumar | 413 S 9th St Apt D, Philadelphia, PA 19147-1335 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Neil Dolan Md | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John W O'neil Dvm | Po Box 63, West Cornwall, CT 06796-0063 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Neil Panchal | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Neil Sinha | 3 Helene Ave, Edison, NJ 08820-2561 | Controlled Substance Registration for Practitioner | 2010-12-20 ~ 2013-02-28 |
Please comment or provide details below to improve the information on NEIL F PETERSEN.
| 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).