PETR PROTIVA MD (Credential# 561859) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PETR PROTIVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044277. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 195 Taunton Rd, Fairfield, CT 06824. The current status is active.
| Licensee Name | PETR PROTIVA MD |
| Credential ID | 561859 |
| Credential Number | 1.044277 |
| Credential Type | Physician/Surgeon |
| Business Address |
195 Taunton Rd Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-04-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 440178 | CSP.0039238 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 195 Taunton Rd |
| City | Fairfield |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara H Niego | 195 Taunton Rd, Fairfield, CT 06824-3820 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | Fairfield |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Fairfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Petr Smejkal Md | 2800 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2005-08-25 ~ 2006-06-30 |
| Kerry A Petr Cpa | 54 Orchard Road, Woodbridge, CT 06525 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Petr Voznica LLC | 94 Franklin Ave, Stratford, CT 06615 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Petr Koctar | Elevator Limited Conveyor Journeyperson | 2007-03-26 ~ 2007-08-31 | |
| Petr Masopust | 825 N 29th St Apt 5d, Philadelphia, PA 19130 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Petr Lisa · P & G Unlimited | 40 James St, Ansonia, CT 06401 | Home Improvement Contractor | 2005-12-23 ~ 2006-11-30 |
| Corey Petr | 8 Piscetelli Cir, East Haven, CT 06512-4243 | Public Service Technician - Telephone | 2018-10-01 ~ 2019-09-30 |
| Kerry A Petr | 54 Orchard Road, Woodbridge, CT 06525 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| John Petr | 185 Mansfield Grove Rd, East Haven, CT 06512-4817 | Public Service Technician - Telephone | 2018-10-01 ~ 2019-09-30 |
| Petr Mikus | 21520 Yorba Linda Blvd Ste G548, Yorba Linda, CA 92887-3762 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on PETR PROTIVA MD.
| 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).