JODI M MOORE WEISS (Credential# 1262138) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
JODI M MOORE WEISS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059219. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Walla Walla Va Medical Center, Walla Walla, WA 99362. The current status is inactive.
Licensee Name | JODI M MOORE WEISS |
Credential ID | 1262138 |
Credential Number | CSP.0059219 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Walla Walla Va Medical Center Walla Walla WA 99362 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2015-01-13 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
763276 | 3.002648 | Optometrist | 2004-07-08 | 2018-10-01 - 2019-09-30 | INACTIVE |
410103 | CSP.0037777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-09 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | Walla Walla VA Medical Center |
City | Walla Walla |
State | WA |
Zip Code | 99362 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pepper Bridge Winery LLC | 1704 J B George Road, Walla Walla, WA 99362 | Out of State Winery | 2020-01-15 ~ 2021-01-14 |
Doubleback Cabernet Sauvignon Walla Walla Valley | 2900 Melrose St, Walla Walla, WA 99362 | Liquor Brand Label | 2020-01-24 ~ 2023-01-22 |
Vintage Wine Estates Inc · Dba Tamarack Cellars | 108 W Beech Ave, Walla Walla, WA 99362 | Out of State Winery | 2019-12-05 ~ 2020-12-04 |
Leonetti Cellar LLC | 1875 Foothills Lane, Walla Walla, WA 99362 | Out of State Winery | 2019-09-27 ~ 2020-09-26 |
Anthony H Horan | 77 Wainwright Dr, Walla Walla, WA 99362 | Physician/surgeon | 1973-07-03 ~ 1983-01-31 |
Latta Wines LLC | 1102 Dell Avenue, Walla Walla, WA 99362 | Out of State Winery | 2017-10-02 ~ 2018-09-29 |
Richard J Valentine | 3926 Braden Road, Walla Walla, WA 99362 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
M E M LLC | 4137 Hood Road, Walla Walla, WA 99362 | Out of State Winery | 2008-03-03 ~ 2009-03-02 |
Whitman Cellars LLC | 1015 West Pine Street, Walla Walla, WA 99362 | Out of State Winery | 2008-04-25 ~ 2009-04-24 |
Canoe Ridge Vineyard LLC · Canoe Ridge Vineyard | 1102 West Cherry Street, Walla Walla Wa, WA 99362 | Out of State Shipper Liquor | 2008-01-05 ~ 2009-01-04 |
Find all Licenses in zip 99362 |
City | Walla Walla |
Zip Code | 99362 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Walla Walla |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jodi Schaschl | 30 Ann St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lester B Weiss | 123 York St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1994-04-22 ~ 1996-05-01 |
Robert L Weiss Md | 761 Main Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alexander Weiss | 111 Park St Apt 10a, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Sarah A Weiss | 333 Cedar St., New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert M Weiss | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachel L Weiss | 38 Crown St Apt 303, New Haven, CT 06510-3353 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Curtis H Weiss | 44 Orange St #201, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Scott H Weiss | 800 Post Rd Ste 302, Darien, CT 06820-4622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dustin J Weiss | 33 Cedar St, New Haven, CT 06519-2355 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).