SHERI A PEABODY (Credential# 524097) 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.
SHERI A PEABODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045073. 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 28 Jacobs Hill Rd, Mansfield Center, CT 06250-1650. The current status is active.
| Licensee Name | SHERI A PEABODY |
| Credential ID | 524097 |
| Credential Number | CSP.0045073 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
28 Jacobs Hill Rd Mansfield Center CT 06250-1650 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-01-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 575989 | 10.071984 | Registered Nurse | 2003-08-14 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 682160 | 12.003982 | Advanced Practice Registered Nurse | 2008-12-02 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 28 JACOBS HILL RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1650 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Lassow | 70 Jacobs Hill Rd, Mansfield Center, CT 06250-1650 | Emergency Medical Responder | 2019-03-06 ~ 2021-12-31 |
| Richard P Dibala Md | 16 Jacobs Hill Rd, Mansfield Center, CT 06250-1650 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin C Lassow | 70 Jacobs Hill Rd, Mansfield Center, CT 06250-1650 | Emergency Medical Technician | 2018-08-08 ~ 2021-07-01 |
| Laura J Lassow | 70 Jacobs Hill Rd, Mansfield Center, CT 06250-1650 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Michael B Lassow | 70 Jacobs Hill Rd, Mansfield Center, CT 06250-1650 | Real Estate Salesperson | 2011-03-01 ~ 2012-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Max M Enkin | 21 Baldwin St, Peabody, MA 01960-1420 | Controlled Substance Registration for Practitioner | 2019-06-01 ~ 2021-02-28 |
| Anahita Ghorbani | 11 Peabody Ter Apt 1901, Cambridge, MA 02138-6317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa T Langer Pa-c | 6 Peabody Court, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sheri Orr | 19 Lenore Drive, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sheri S Kipperman | 335 Kettletown Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sheri L Franklin Md | 345 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Sheri-ryan A Benevides | 22 Village Drive, Waterford, CT 06385-2030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peabody Museum of Yale University | 170 Whitney Ave, New Haven, CT 06511-8902 | Controlled Substance Laboratory | 2012-02-01 ~ 2013-01-31 |
| Richard Prum · Yale Peabody Museum of Natural History | 170 Whitney Ave, New Haven, CT 06511-8902 | Controlled Substance Laboratory | 2015-04-07 ~ 2016-01-31 |
| John E Peabody · Peabody Floorcovering | 21 Allen Rd, Baltic, CT 06330 | Home Improvement Contractor | 1996-07-25 ~ 1996-11-30 |
Please comment or provide details below to improve the information on SHERI A PEABODY.
| 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).