ELIZABETH T PERICAT (Credential# 259720) 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.
ELIZABETH T PERICAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030371. 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 225 Hopmeadow St, Weatogue, CT 06089. The current status is active.
| Licensee Name | ELIZABETH T PERICAT |
| Credential ID | 259720 |
| Credential Number | CSP.0030371 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
225 Hopmeadow St Weatogue CT 06089 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556715 | 1.039127 | Physician/Surgeon | 2000-11-24 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 866724 | 70.940946 | Emergency Medical Technician | 1994-06-01 | - 1996-06-30 | INACTIVE |
| Street Address | 225 HOPMEADOW ST |
| City | WEATOGUE |
| State | CT |
| Zip Code | 06089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Sabo Md | 225 Hopmeadow St, Weatogue, CT 06089-9782 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline M Sloan | 225 Hopmeadow St, Weatogue, CT 06089-9782 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane Bason Aprn | 225 Hopmeadow St, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | WEATOGUE |
| Zip Code | 06089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEATOGUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Elizabeth Magnoli | 15 Dearborn Dr, Cape Elizabeth, ME 04107-2302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Lucal | Po Box 311, Lakeville, CT 06039 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth J Marcucio | 24 N Coe Ln, Ansonia, CT 06401-2818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Halvorsen Md | Guilford, CT 06443-1858 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth F Harman Pa | 125 Fox Run Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Elizabeth Krowitz | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann Ng | 618 Creekside Ln, Fishkill, NY 12524-4902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dominick C Mariconda Pa | 32 Elizabeth St, Guilford, CT 06437-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Ann L Graham Pa | 260 Willow St, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Elizabeth A Lawton | 17 Janet Dr, Middlebury, CT 06762-1628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELIZABETH T PERICAT.
| 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).