JODI M MOORE WEISS
Controlled Substance Registration for Practitioner


Address: Walla Walla Va Medical Center, Walla Walla, WA 99362

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address Walla Walla VA Medical Center
City Walla Walla
State WA
Zip Code 99362

Licenses in the same zip code

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
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Competitor

Search similar business entities

City Walla Walla
Zip Code 99362
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Walla Walla

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Dataset Information

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).

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