SANDRA K PECCERILLO APRN
Controlled Substance Registration for Practitioner


Address: 231 Court Street, West Haven, CT 06516

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 231 COURT STREET
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

Search similar business entities

City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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Dataset Information

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).

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