NEIL F PETERSEN CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER

Address:
433 Highland Dr, Waterbury, CT 067083651

NEIL F PETERSEN (Credential# 156636) is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER licensed with Connecticut Department of Consumer Protection. The license expiration date is 2019-02-28.

Business Overview

Name NEIL F PETERSEN
Credential ID 156636
Credential Code CSP.0016508
Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Address 433 Highland Dr
Waterbury
CT 067083651
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-02-25

Other licenses

ID Credential Code Credential Type Term Status
547677 1.029266 Physician/Surgeon 2017-12-01 - 2018-11-30 ACTIVE
303866 CSP.0031970 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-15 - 2003-02-28 INACTIVE

Office Location

Street Address 433 HIGHLAND DR
City WATERBURY
State CT
Zip Code 067083651

Entities with the same location

Name Office Address Expiration Date
NEIL F PETERSEN 433 Highland Dr, Waterbury, CT 067083651 2018-11-30
NEIL F PETERSEN 433 Highland Dr, Waterbury, CT 067083651 2003-02-28

Competitor

Search similar business entities

City WATERBURY
Zip Code 06708
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).