LAWRENCE C PETERS (Credential# 550515) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
LAWRENCE C PETERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032916. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 759 Chestnut St, Springfield, MA 01199. The current status is inactive.
| Licensee Name | LAWRENCE C PETERS |
| Credential ID | 550515 |
| Credential Number | 1.032916 |
| Credential Type | Physician/Surgeon |
| Business Address |
759 Chestnut St Springfield MA 01199 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-04-30 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162587 | CSP.0020947 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2015-03-10 - 2017-02-28 | INACTIVE |
| Street Address | 759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean M Hennebery | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Richard M Engelman | 759 Chestnut St, Springfield, MA 01199 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| James Van Bavel | 759 Chestnut St, Springfield, MA 01107-1619 | Physician/surgeon | 1972-06-22 ~ 1980-07-30 |
| Alok Kumar | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | ~ |
| Baystate Health Foundation Inc. | 759 Chestnut St, Springfield, MA 01199-1001 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katya Ford · Ivanov | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Franklin Moore | Departmentt of Pathology, 759 Chestnut St, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Oren W Johnson | 758 Chestnut Street, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kimberly Ann Bucknor | 3400 B Main Street, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2020-02-03 ~ 2021-02-28 |
| Kelly A Lynch | Baystate Medical Center, Dept. of Obgyn, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando L Torres | 140 High Street, Springfield, MA 01199 | Physician/surgeon | 2005-11-21 ~ 2006-07-31 |
| Christopher N Otis | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly M Tyler | Baystate Medical Center, Springfield, MA 01199 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neal E Seymour | Baystate Medical Center, Springfield, MA 01199 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Venkatrao Medarametla | C3350; Hospital Medidine, Springfield, MA 01199-0001 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 01199 | |||
| City | SPRINGFIELD |
| Zip Code | 01199 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald H Peters Md | Elizabeth St, Kent, CT 06757 | Physician/surgeon | 2000-02-14 ~ 2001-04-30 |
| Victoria Peters Do | 54 Twinbrook Drive, Somers, CT 06071 | Physician/surgeon | 2000-02-21 ~ 2001-03-31 |
| Julie E Peters Md | 900 Chapel St Ste 1212, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Daniel F Peters | 26 Arbor Court, Holmes, NY 12531 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David R Engelman | 3 Saint Peters Court, Ledyard, CT 06339 | Physician/surgeon | 2005-09-26 ~ 2006-07-31 |
| Ann-jerry Peters | 4996 Taylor Way, El Dorado Hills, CA 95762-7531 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Maurice R Peters | 3700 Park East, #3rd Fl, Beachwood, OH 44122 | Physician/surgeon | 2013-11-01 ~ 2014-10-31 |
| Jill M Peters-gee | 499 Farmington Avenue, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
Please comment or provide details below to improve the information on LAWRENCE C PETERS.
| 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).