PETER BERTOLOZZI (Credential# 990220) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PETER BERTOLOZZI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049914-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Morgan Steet, Mystic, CT 06355. The current status is active.
Licensee Name | PETER BERTOLOZZI |
Credential ID | 990220 |
Credential Number | 1.049914-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
11 Morgan Steet Mystic CT 06355 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-06-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
993843 | CSP.0049995 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 11 Morgan steet |
City | Mystic |
State | CT |
Zip Code | 06355 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06355 |
City | Mystic |
Zip Code | 06355 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Mystic |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
Peter M Dean Md | Rr 1 Box 296, Woodstock, VT 05091-9507 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
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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).