PERIN W DIANA JR (Credential# 541152) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
PERIN W DIANA JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014545. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 55 Meriden Ave, Southington, CT 06489. The current status is active.
| Licensee Name | PERIN W DIANA JR |
| Credential ID | 541152 |
| Credential Number | 1.014545 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Meriden Ave Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1970-07-20 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153551 | CSP.0003320 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 55 MERIDEN AVE |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas J Macko | 55 Meriden Ave, Southington, CT 06489 | Dentist | 2015-02-01 ~ 2016-01-31 |
| John Delmonte Jr | 55 Meriden Ave, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
| Choong S Sohn Md | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2005-12-29 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Chateau Perin Di Naudine | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1997-12-24 ~ 2000-12-24 |
| Diana Harbison | Po Box 556, Essex, CT 06426-0556 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana Hull Md | Po Box 931, Middletown, CT 06457-0931 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Maria M Messina Md | 19 Diana Dr, Woodbridge, CT 06525-1216 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Diana M Adams | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel J Diana | 42 Bluff St, Westbrook, CT 06498 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana P. Lewis | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Robert D Messina Md | 19 Diana Dr., Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Diana Leigh Rowell | 375 Farmington Ave, New Britain, CT 06053-2356 | Physician/surgeon | 1991-05-31 ~ 1992-04-30 |
Please comment or provide details below to improve the information on PERIN W DIANA JR.
| 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).