PETER A FORD APRN (Credential# 198972) 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.
PETER A FORD APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027584. 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 4 Taylor Lane, Wallingford, CT 06492. The current status is active.
| Licensee Name | PETER A FORD APRN |
| Credential ID | 198972 |
| Credential Number | CSP.0027584 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Taylor Lane Wallingford CT 06492 |
| 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 | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 628467 | 10.E59569 | Registered Nurse | 1997-06-27 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 680097 | 12.001918 | Advanced Practice Registered Nurse | 1998-09-18 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 778173 | 54.000374 | Athletic Trainer | 2006-11-16 | 2008-08-11 - 2009-08-31 | INACTIVE |
| Street Address | 4 TAYLOR LANE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter J Integlia Aprn | 98 Ford St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Donna L Ford Aprn | 1111 Cromwell Ave, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter E Mortensen Aprn | 385 Lake Rd, Andover, CT 06232 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter J Kelly Aprn | 53 Glendale Drive, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Tinnesz Aprn | 39 Cranbury Drive, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter P Jakubowski Aprn | 19 Great Neck Rd, Trumbull, CT 06611-3224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danailourdes Louis | 36 Ford St, Hamden, CT 06517-2508 | Controlled Substance Registration for Practitioner | 2019-06-25 ~ 2021-02-28 |
| Kevin R Mcconnell | 65 Ford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1992-12-07 ~ 1995-01-01 |
| Camille N Raad Md | 126 Ford St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2009-05-21 ~ 2011-02-28 |
| Kellie A Ford | 25 Richard Rd, Manchester, CT 06040-4009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PETER A FORD APRN.
| 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).