KATHLEEN S PERREGO MD (Credential# 563034) 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.
KATHLEEN S PERREGO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045452. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 14 Harwood Ct Suite 408 A, Scarsdale, NY 10583. The current status is active.
| Licensee Name | KATHLEEN S PERREGO MD |
| Credential ID | 563034 |
| Credential Number | 1.045452 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Harwood Ct Suite 408 A Scarsdale NY 10583 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-05-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 477924 | CSP.0042011 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 HARWOOD CT SUITE 408 A |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenifer M Johnson | 46 Overton Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Calin M Petrescu | 11 Crossway, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hal R Mendel | 386 Heathcote Rd, Scarsdale, NY 10583 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Barbara Exavier Clark | 34 Robin Hill Rd, Scarsdale, NY 10583 | Master's Level Social Worker | ~ |
| James A Cicalo | 11 Parkway Circle, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Erica F Christ | 20 Livingston Road, Scarsdale, NY 10583 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Paul F Waters | 55 Mamaroneck Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Russell Grant | 1198 Post Road, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gary D Beane | 60 Mount Joy Avenue, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10583 | |||
| City | SCARSDALE |
| Zip Code | 10583 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SCARSDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Barrett Kay | Po Box 5, Latham, NY 12110-0005 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Kathleen L Ryan | 215 Eastbourne Ter, Moorestown, NJ 08057-2942 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Kathleen F Maurer Md | 111 Dennison Rd, Westbrook, CT 06498-1457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kathleen Van Valkenburg | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
| Kathleen M Donnelly | 757 Townsend Ave, New Haven, CT 06512 | Physician/surgeon | 1996-06-20 ~ 1997-07-31 |
| Kathleen A Sutton | 200 Mansion Rd, Wallingford, CT 06492 | Physician/surgeon | 1991-06-27 ~ 1993-07-31 |
| Kathleen J Mcshane Md | 27 Main St, Hebron, CT 06248 | Physician/surgeon | 1998-05-19 ~ 1999-06-30 |
| Kathleen A Kohls | 241 Ferry Landing Cir, Portsmouth, RI 02871-3126 | Physician/surgeon | ~ |
| Kathleen Cardinale | 46 Seeley Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kathleen M Kim | Dept. of Psychiatry, Chicago, IL 60612 | Physician/surgeon | 2002-12-09 ~ 2004-01-31 |
Please comment or provide details below to improve the information on KATHLEEN S PERREGO 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).