EILEEN B MOYNIHAN (Credential# 1283807) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
EILEEN B MOYNIHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006128. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3618 Corlear Ave, Bronx, NY 10463-2306. The current status is active.
| Licensee Name | EILEEN B MOYNIHAN |
| Credential ID | 1283807 |
| Credential Number | 12.006128 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
3618 Corlear Ave Bronx NY 10463-2306 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1274479 | 10.125650 | Registered Nurse | 2015-03-31 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1288767 | CSP.0060441 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3618 CORLEAR AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10463-2306 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
| Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10463 | |||
| City | BRONX |
| Zip Code | 10463 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eileen A Hurley | 17 Ridgeway Rd, Easton, CT 06612-1717 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eileen M Moore | 215 Lambtown Rd, Ledyard, CT 06339 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eileen M Martinez | 130 Walnut St, Bridgeport, CT 06604 | Advanced Practice Registered Nurse | 2005-10-21 ~ 2006-10-31 |
| Eileen M Maccallum Aprn | 34 Frandel Dr, Avon, CT 06001-2205 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Eileen M Condon | 681 Wigwam Lane, Stratford, CT 06614-2411 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Eileen R Cusick | 91 Emily Way, West Hartford, CT 06107 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Eileen C Farrar | 370 Huckleberry Hill Rd, Avon, CT 06001-3100 | Advanced Practice Registered Nurse | 2018-01-01 ~ 2018-12-31 |
| Eileen Pond | 51 Old Village Circle, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Eileen R Mcgrath | 1 Rockmeadow Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Eileen M Crutchlow | 268 Walnut Tree Hill, Shelton, CT 06484 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on EILEEN B MOYNIHAN.
| 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).