SANDRA K PECCERILLO APRN (Credential# 192617) 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.
SANDRA K PECCERILLO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026514. 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 231 Court Street, West Haven, CT 06516. The current status is active.
Licensee Name | SANDRA K PECCERILLO APRN |
Credential ID | 192617 |
Credential Number | CSP.0026514 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
231 Court Street West Haven CT 06516 |
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 | 2019-02-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
626937 | 10.E58031 | Registered Nurse | 1995-07-21 | 2019-12-01 - 2020-11-30 | ACTIVE |
679909 | 12.001730 | Advanced Practice Registered Nurse | 1997-12-19 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 231 COURT STREET |
City | WEST HAVEN |
State | CT |
Zip Code | 06516 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sandra Lukens Aprn | 94 Broad St, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Sandra L Bellini Aprn | 193 Westboro Rd, Upton, MA 01568-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sandra A Barnosky Aprn | Uconn Health Ctr, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sandra Berardy Aprn | 24 Baldwin Court, Uncasville, CT 06382 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Sandra Kress Aprn | 57 Quailcrest Rd, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Sandra Wayne Aprn | 72 Spruce Hill Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Sandra Mintern Aprn | 1277 Cafifornia Road, Eastchester, NY 10709 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Sandra Wollenberg Aprn | 1960 Peregrine Lane, Clarkdale, AZ 86324 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Joseph Peccerillo Md | 185 Center Street, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).