TIFFANY MOADEL (Credential# 1216250) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
TIFFANY MOADEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056972. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 124 Walnut Ln, Manhasset, NY 11030-1618. The current status is lapsed.
| Licensee Name | TIFFANY MOADEL |
| Credential ID | 1216250 |
| Credential Number | CSP.0056972 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
124 Walnut Ln Manhasset NY 11030-1618 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-04-11 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1206875 | 1.052872 | Physician/Surgeon | 2014-03-28 | 2016-11-01 - 2017-10-31 | INACTIVE |
| Street Address | 124 WALNUT LN |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-1618 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaewoo Kim | 18 Kensington Circle, Manhasset, NY 11030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Adam W Shen | 304 Community Drive Apt 1r, Manhasset, NY 11030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linus Chuang | 35 Evergreen Circle, Manhasset, NY 11030 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Megan G Tursi | 93 Gaynor Ave, Manhasset, NY 11030 | Certified General Real Estate Appraiser | 2018-08-03 ~ 2019-04-30 |
| Aret R Akbork | 90 Bourndale Rd South, Manhasset, NY 11030 | Engineer-in-training | 2007-04-10 ~ 2017-04-10 |
| Nicholas J Gajdjis | 659 Park Avenue, Manhasset, NY 11030 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Lawrence Trachtman | Po Box 706, Manhasset, NY 11030 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| David Cooper | 66 Hemlock Road, Manhasset, NY 11030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joan M Viscardi | 10 Shorehaven Lane, Manhasset, NY 11030 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Patrick D Pilch | 138 Bourndale Road North, Manhassett, NY 11030 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANHASSET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiffany A Perkins | 10 Oak St, Enfield, CT 06082-4723 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tiffany D Labella Md | 19 Cedar Rd, Woodbridge, CT 06525-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tiffany B Lundeen Lnm | 922 Quinnipiac Ave #5, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2008-04-17 ~ 2009-02-28 |
| Tiffany C Zigras | 267 Ellsworth St, Bridgeport, CT 06605-3165 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tiffany J Lewis | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tiffany Brady | 105 Myrtle St, New Britain, CT 06051-1859 | Controlled Substance Registration for Practitioner | 2015-02-24 ~ 2017-02-28 |
| Tiffany Le | 1055 Kennedy Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tiffany Rhodes | 26 Deacon Ln, Hollis, NH 03049 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tiffany T Fancher | 925 Oronoke Rd #36l, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Tiffany A Gillis | 11 Courtland Dr, Huntington, CT 06484 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on TIFFANY MOADEL.
| 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).