PETER LYNDON WILLIS (Credential# 2013147) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 28, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETER LYNDON WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073261. The credential type is controlled substance registration for practitioner. The effective date is February 28, 2020. The expiration date is February 28, 2021. The business address is 4 White Tail Cir, Charlestown, RI 02813-2750. The current status is active.
| Licensee Name | PETER LYNDON WILLIS |
| Credential ID | 2013147 |
| Credential Number | CSP.0073261 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 White Tail Cir Charlestown RI 02813-2750 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-28 |
| Effective Date | 2020-02-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1798553 | 1.064810 | Physician/Surgeon | 2020-02-06 | 2020-02-06 - 2021-01-31 | ACTIVE |
| Street Address | 4 WHITE TAIL CIR |
| City | CHARLESTOWN |
| State | RI |
| Zip Code | 02813-2750 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn Willis | 4 White Tail Cir, Charlestown, RI 02813-2750 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michele B Urso | 14 White Tail Cir, Charlestown, RI 02813-2750 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathi D Lunney | 173 Crosspatch Road, Charlestown, RI 02813 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Pamela M Franeski | 102 Hoxsie Avenue, Charlestown, RI 02813 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Meredith Anne Mcfarland | 3 Kickapoo Run, Charlestown, RI 02813 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Arthur J Frattini II | P.o. Box 90, Charleston, RI 02813 | Sub-surface Sewage Installer | 2020-06-01 ~ 2021-05-31 |
| Robert J Lunney Jr | 173 Cross Patch Rd, Charlestown, RI 02813 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kelly B Watkins | 19a Hawksbill Way, Charlestown, RI 02813 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Evelyn U Russo | 71 Overlook Avenue, Charlestown, RI 02813 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Louis Demichiel | 20 Botka Woods Dr, Charlestown, RI 02813 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Paul Dei | 39 Laurel Rd, Charlestown, RI 02813 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Joseph Albert Mariani | 50 Indian Tr, Charlestown, RI 02813 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02813 | |||
| City | CHARLESTOWN |
| Zip Code | 02813 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHARLESTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Kooper Md | 28 Willis Dr, Cumberland, RI 02864-2066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Monica P Zucca | 185 Willis Ave Ste 1, Mineola, NY 11501-2622 | Controlled Substance Registration for Practitioner | 2013-07-15 ~ 2015-02-28 |
| Charla R Willis Md | 35 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Jody L Willis | 21 Westridge Rd, Bolton, CT 06043-7516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Willis Taylor Williams | 625 Whitney Ave Apt 3, New Haven, CT 06511-2281 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amy Willis | 1415 Ridge Rd, North Haven, CT 06473-3051 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Pe Shein Wynn Md | 254 Willis Avenue, Hawthrone, NY 10532 | Controlled Substance Registration for Practitioner | 1998-01-02 ~ 1999-02-28 |
| Barbara Fay Willis | 119 Forest Grove Road, Homer, LA 71040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter Bonis Md | 209 2nd Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Please comment or provide details below to improve the information on PETER LYNDON WILLIS.
| 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).