LAUREN A PERICA DPM (Credential# 1998184) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LAUREN A PERICA DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073013. The credential type is controlled substance registration for practitioner. The effective date is January 14, 2020. The expiration date is February 28, 2021. The business address is 81 Willimansett St, South Hadley, MA 01075-3000. The current status is active.
| Licensee Name | LAUREN A PERICA DPM |
| Credential ID | 1998184 |
| Credential Number | CSP.0073013 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
81 Willimansett St South Hadley MA 01075-3000 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-14 |
| Effective Date | 2020-01-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1450986 | 19.000971 | Podiatrist | 2017-12-11 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1084855 | CSP.0053271 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-10 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 81 WILLIMANSETT ST |
| City | SOUTH HADLEY |
| State | MA |
| Zip Code | 01075-3000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
| Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
| Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
| Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
| Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01075 | |||
| City | SOUTH HADLEY |
| Zip Code | 01075 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH HADLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren A Hai | 200 Michelle Ln Apt 303, Groton, CT 06340-4235 | Controlled Substance Registration for Practitioner | 2015-02-12 ~ 2017-02-28 |
| Lauren E Ng | 330 Maple Ave Apt 8, Westbury, NY 11590-3382 | Controlled Substance Registration for Practitioner | 2015-03-07 ~ 2017-02-28 |
| Lauren S. Py | 57 Kaye Vue Dr Apt A, Hamden, CT 06514-2314 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lauren E Kapkanoff | 56 Terrace Ave Apt 1, Naugatuck, CT 06770-4029 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren Clement | 147 N Farms Rd, Middlebury, CT 06762-1416 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Lauren A Beebe | 8 Route 148, Killingworth, CT 06419-2300 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
| Lauren A Baldassarre | 60 Lind St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Rezendes | 370 Yale Ave, Meriden, CT 06450-7228 | Controlled Substance Registration for Practitioner | 2011-03-09 ~ 2013-02-28 |
| Lauren M Freer | 33 Deerbrooke Cir, Southington, CT 06489-4340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren K Tormey | 544 Columbus Ave., Boston, MA 02118 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on LAUREN A PERICA DPM.
| 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).