TEAL MARIE PECK PA (Credential# 223080) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
TEAL MARIE PECK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028920. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 2307 18th Street Se, Rio Rancho, NM 87124. The current status is lapsed.
| Licensee Name | TEAL MARIE PECK PA |
| Credential ID | 223080 |
| Credential Number | CSP.0028920 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2307 18th Street Se Rio Rancho NM 87124 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-10-20 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742633 | 23.000884 | Physician Assistant | 1999-10-05 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 2307 18TH STREET SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert E. Marchand | 1512 Deborah Rd #144, Riorancho, NM 87124 | Certified Public Accountant License | 2008-01-01 ~ 2008-12-31 |
| Suzanne Manthei Mrs. | 500 Gral Trevino, Rio Rancho, NM 87124 | Licensed Practical Nurse | 2013-11-01 ~ 2014-10-31 |
| Jean K Baker | 3209 May Circle, Rio Rancho, NM 87124 | Registered Nurse | 1992-02-24 ~ 1993-01-31 |
| Sarah H O'neill | 500 Lisbon Avenue, Rio Rancho, NM 87124 | Registered Nurse | 2000-06-05 ~ 2001-05-31 |
| Margaret L Pratt | 1848 Doral Park Rd, Rio Rancho, NM 87124 | Hairdresser/cosmetician | 1998-09-21 ~ 1999-10-31 |
| Erna F Mayer | 3394 Marino Dr. Se, Rio Rancho, NM 87124 | Hairdresser/cosmetician | 2006-09-26 ~ 2008-10-31 |
| Robert B Pomeranz | 651 Campfire Rd Se, Rio Rancho, NM 87124 | Optometrist | 1999-05-17 ~ 2000-05-31 |
| Rita E Metcalf | 4965 Zirconia Dr Ne, Rio Rancho, NM 87124 | Registered Nurse | 2007-02-26 ~ 2008-03-31 |
| Donna M B Kittredge | 900 Country Club Dr, Rio Rancho, NM 87124 | Registered Nurse | 1992-12-22 ~ 1994-01-31 |
| Skanska Usa Construction Services Inc | 103 Industrial Park Loop, Rio Rancho, NM 87124 | Major Contractor | 2004-04-01 ~ 2004-06-30 |
| Find all Licenses in zip 87124 | |||
| City | RIO RANCHO |
| Zip Code | 87124 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RIO RANCHO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis N Vinias | 46 Teal Ln, Groton, CT 06340-2620 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Morgan Kellogg | 2 Peck Ave, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| C.e. Peck | 1 Edna Ct, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Michael B Curi Md | 30 Peck Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alma M Joseph | 81 Peck St, Stratford, CT 06614-4443 | Controlled Substance Registration for Practitioner | 2019-01-04 ~ 2021-02-28 |
| Robert C Sederquist Dmd | 55 Peck Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert T Crovo Dpm | 52 Peck Rd, Torrington, CT 06790-6107 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lisa M Decarlo | 36 Peck St, Norwich, CT 06360-5515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul R Nebor | 55 Peck Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).