NICK J MOORE (Credential# 1220806) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.
NICK J MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053150. The credential type is physician/surgeon. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 902 Falls View Rd, Manchester, CT 06042-7123. The current status is inactive.
| Licensee Name | NICK J MOORE |
| Credential ID | 1220806 |
| Credential Number | 1.053150 |
| Credential Type | Physician/Surgeon |
| Business Address |
902 Falls View Rd Manchester CT 06042-7123 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-06-13 |
| Effective Date | 2015-01-01 |
| Expiration Date | 2015-12-31 |
| Refresh Date | 2016-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1234579 | CSP.0058103 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-16 | 2014-07-16 - 2015-02-28 | INACTIVE |
| Street Address | 902 FALLS VIEW RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7123 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Stewart | 910 Falls View Rd, Manchester, CT 06042-7123 | Off Track Betting Facility Employee | 2014-01-01 ~ 2014-12-31 |
| Jawad Arif | 904 Falls View Rd, Manchester, CT 06042-7123 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lisa M Defurio | 910 Falls View Rd, Manchester, CT 06042-7123 | Off Track Betting Facility Employee | 2014-01-01 ~ 2014-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nick C Mellos Md | 21 Hazel Ter Ste B, Woodbridge, CT 06525-2209 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Nick Associated Inc | 88 Mayfair Ave, West Hempstead, NY 11552 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Nick Moore | 154 Georgetown Road, Weston, CT 06883 | Notary Public Appointment | 2016-01-26 ~ 2021-01-31 |
| Amelia Curtis | 73 Moore Ave Apt 3, Worcester, MA 01602-1846 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Timothy J Moore | 180 Reinhard Ave., Columbus, OH 43206 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Roger W Moore | 39 Boland Rd, Sharon, CT 06069 | Physician/surgeon | 2004-08-02 ~ 2005-09-30 |
| James E Moore | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christopher L Moore Md | 151 Whitfield St, Guilford, CT 06437-3429 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Harold M Ginzburg | 101 S Moore Ave, Claremore, OK 74017-5047 | Physician/surgeon | 1970-08-14 ~ 1978-06-30 |
| James R Moore | 31 Cold Spring Dr, Bloomfield, CT 06002 | Physician/surgeon | 1993-03-24 ~ 1994-02-28 |
Please comment or provide details below to improve the information on NICK J MOORE.
| 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).