PETER W BRENGEL (Credential# 999345) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 31, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETER W BRENGEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050224. The credential type is controlled substance registration for practitioner. The effective date is March 31, 2019. The expiration date is February 28, 2021. The business address is 128 Elm St, Lake Placid, NY 12946-1368. The current status is active.
| Licensee Name | PETER W BRENGEL |
| Credential ID | 999345 |
| Credential Number | CSP.0050224 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
128 Elm St Lake Placid NY 12946-1368 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-05-31 |
| Effective Date | 2019-03-31 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995098 | 23.002574 | Physician Assistant | 2011-05-02 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 128 ELM ST |
| City | LAKE PLACID |
| State | NY |
| Zip Code | 12946-1368 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rickie A Canny | 34 Hillcrest Ave, Lake Placid, NY 12946 | Speech and Language Pathologist | 2018-07-01 ~ 2019-06-30 |
| Meredith Nyberg | P O Box 664, Lake Placid, NY 12946 | Registered Nurse | 1993-09-23 ~ 1994-06-30 |
| Anita Whalley | Po Box 462, Lake Placid, NY 12946 | Licensed Practical Nurse | 1992-06-25 ~ 1993-05-31 |
| Majeed Siddiqui | 34 Essex St, Lake Placid, NY 12946-1236 | Physician/surgeon | ~ |
| Whiteface Lodge Condominium | 7 Whiteface Inn Ln, Lake Placid, NY 12946-1275 | Timeshare Registration | 2012-07-09 ~ 2013-12-31 |
| Deborah Polt Marshall | 38 Snowberry Ln, Lake Placid, NY 12946-3101 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Andrew Richard Chary | 2434 Main St, Lake Placid, NY 12946-3300 | Architect | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn N Pilipaitis | 45 Indigo Dr, Lake Placid, FL 33852 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Eileen Gilmartin | 1080 Cord Grass Drive, Lake Placid, FL 33852 | Registered Nurse - Temporary | 2019-06-21 ~ 2019-10-19 |
| John Marshall Crane | 636 Hill Rd, Lake Placid, FL 33852 | Crane Operator | ~ |
| Judith A Leko | 12 Chestnut Trl, Lake Placid, FL 33852-8162 | Licensed Practical Nurse | 2015-03-01 ~ 2016-02-29 |
| Heather Marie Barron | 109 Dixie Ave, Lake Placid, FL 33852 | Registered Nurse | 2017-08-21 ~ 2018-05-31 |
| Adam Padilla | 164 Sarasota St, Lake Placid, FL 33852-7462 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Carl P Pappas | 214 Golfpoint Dr, Lake Placid, FL 33852-8565 | Real Estate Broker | 2007-04-01 ~ 2008-03-21 |
| Catherine S Raciti | 130 Gates Ave, Lake Placid, FL 33852-8904 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Cynthia P Erickson | 924 Primrose St, Lake Placid, FL 33852-5187 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Susan E Elam | 272 Cumquat Rd Ne, Lake Placid, FL 33852 | Registered Nurse | 1992-02-24 ~ 1993-02-28 |
| Find all Licenses in LAKE PLACID | |||
| City | LAKE PLACID |
| Zip Code | 12946 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAKE PLACID |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Jameson Md | Po Box 448, Bridgewater, CT 06752 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Peter Lee Kim | 20 Front St Apt 501, Hartford, CT 06103-2851 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
| Peter Lee Kim | 3 Fox Hill Ln, Enfield, CT 06082-3816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter K Lee | 53 Ridgewood Ct, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 1993-03-09 ~ 1995-03-01 |
| Peter S Yoo | 333 Cedar St Fmb 121, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter B Schneidau | Po Box 6, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Peter R Later Do | 64 Windward Way, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Peter M Petrillo | 4 9th Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Peter A Ryg | 150 Bradley St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter N Broer | New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-04-21 ~ 2013-02-28 |
Please comment or provide details below to improve the information on PETER W BRENGEL.
| 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).