ANITA T PETRUZZELLI MD (Credential# 179773) 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.
ANITA T PETRUZZELLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025289. 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 701 Hebron Avenue, Glastonbury, CT 06033. The current status is active.
| Licensee Name | ANITA T PETRUZZELLI MD |
| Credential ID | 179773 |
| Credential Number | CSP.0025289 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
701 Hebron Avenue Glastonbury CT 06033 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551742 | 1.034143 | Physician/Surgeon | 1994-11-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 701 Hebron Avenue |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Pierce | 701 Hebron Avenue, Glastonbury, CT 06033-1672 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Markyia Nichols | 701 Hebron Avenue, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anita L Bourque Md | Po Box 217, New Britain, CT 06050-0217 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita M Kelsey Md | 5 Ardsley Way, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita Gade | 1 Hospital Plz, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Anita Dugatto | 69 Elizabeth St, Derby, CT 06418-1825 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Anita A Vashi Md | 14 Trumbull St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| M Anita Blume | 276 Bank St, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita C Sabellico | 577 East St S, Suffield, CT 06078-2423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita Kiehl | 866 Chamberlain, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 1994-11-15 ~ 1996-12-01 |
| Anita M Hwang | 914 Hartford Tpke, Waterford, CT 06385-4263 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita Bhandari Md | 95 Nichole Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).