WENDY A PECORELLA MD (Credential# 312166) 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.
WENDY A PECORELLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032293. 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 849 Ivy Rd, Ambler, PA 19002. The current status is active.
| Licensee Name | WENDY A PECORELLA MD |
| Credential ID | 312166 |
| Credential Number | CSP.0032293 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
849 Ivy Rd Ambler PA 19002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-06-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558084 | 1.040501 | Physician/Surgeon | 2002-06-04 | 2019-06-01 - 2020-05-31 | ACTIVE |
| Street Address | 849 IVY RD |
| City | AMBLER |
| State | PA |
| Zip Code | 19002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ltk Consulting Services Inc | 100 West Butler Ave, Ambler, PA 19002 | Professional Engineering Corporation | 2020-08-16 ~ 2021-08-15 |
| Robert J Price | 1228 Joseph Road, Ambler, PA 19002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laurie Gaertner | 1218 Joseph Road, Ambler, PA 19002 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jose Missri Md | 1648 Pembrook Rd., Ambler, PA 19002 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey Bourret | 819 Foxfield Rd, Lower Gwynedd, PA 19002 | Pharmacist | 2018-08-27 ~ 2020-01-31 |
| Bonnie C Shaddinger | 502 Herold Ct, Maple Glen, PA 19002 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Scott T Kupper | 300 Brookside Ave., Ambler, PA 19002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Route Dynamics Corp. | 200 Bolton Court, Ambler, PA 19002 | Securities - Exemptions | 2020-01-08 ~ |
| Stacy E Shimp | 1673 Ludwell Drive, Ambler, PA 19002 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Meiqin Xue | 406 East Welsh Road, Ambler, PA 19002 | Massage Therapist | 2019-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 19002 | |||
| City | AMBLER |
| Zip Code | 19002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AMBLER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy Harris Md | 1 Hunter Ave Ste B, Armonk, NY 10504-2025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy A Witt | 122 Montauk Ave, Stonington, CT 06378-2318 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy M Russett Pa-c | 345 Prospect St, Naugatuck, CT 06770-3118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy L Peterson | 21 Johnson St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy P Kok | 20 Sandhurst Dr, West Hartford, CT 06107-3644 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy C Lewandowski | 845 Farmington Ave, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy E Bisset | 18 Canfield Dr, Stamford, CT 06902-1325 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Wendy H Drost | 64 Hillside Ave, Milford, CT 06460-7807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wendy Hou Md | 3306 Griswold Ave Flr 2, Bronx, NY 10465-1108 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ariel E Belek | 156 Wendy Rd, Trumbull, CT 06611-3438 | Controlled Substance Registration for Practitioner | 2019-11-25 ~ 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).