DIANA B MOISE (Credential# 1338320) 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 ACTIVE.
DIANA B MOISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062230. 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 47 Avonwood Road, Avon, CT 06001. The current status is active.
| Licensee Name | DIANA B MOISE |
| Credential ID | 1338320 |
| Credential Number | CSP.0062230 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
47 Avonwood Road Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-03-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1250023 | 1.053730 | Physician/Surgeon | 2014-12-02 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 47 Avonwood Road |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Moeid Khan | 47 Avonwood Road, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rick De Aguila | 47 Avonwood Road, Avon, CT 06001 | Notary Public Appointment | 2012-03-01 ~ 2017-02-28 |
| Angelina Rosa Imperiale | 47 Avonwood Road, Avon, CT 06001 | Notary Public Appointment | 2011-02-08 ~ 2016-02-28 |
| Camille A Hill | 47 Avonwood Road, Avon, CT 06001-2312 | Home Improvement Salesperson | 2013-12-01 ~ 2014-11-30 |
| Elzbieta Skowron | 47 Avonwood Road, Avon, CT 06001 | Notary Public Appointment | 2005-06-07 ~ 2010-06-30 |
| Kourosh Keikhanzadeh | 47 Avonwood Road, Avon, CT 06001 | Dentist | 2006-06-06 ~ 2007-07-31 |
| Naresh T Gunaratnam | 47 Avonwood Road, Avon, CT 06001 | Physician/surgeon | ~ 1995-09-30 |
| Susan L Bower | 47 Avonwood Road, Avon, CT 06001 | Physician/surgeon | 1994-03-18 ~ 1995-03-31 |
| Guy Huynh-ba | 47 Avonwood Road, Avon, CT 06001 | Provisional Faculty Dentist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daphnee Moise Md | 2401 Morrison Ave Apt 116, Tampa, FL 33629 | Controlled Substance Registration for Practitioner | 2006-03-10 ~ 2007-02-28 |
| Duane M Moise Do | 12604 149th Ave, South Ozone Park, NY 11420-3719 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Moise W Anglade | 263 Farmington Ave L2104 Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2008-03-07 ~ 2009-02-28 |
| Diana H Lee | 129 York St Apt 8e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Diana K Joy | 76 Tulip St, Bergenfield, NJ 07621-3819 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diana Crisan | 85 Jefferson St, CT 06106 | Controlled Substance Registration for Practitioner | 2008-09-12 ~ 2009-02-28 |
| Diana Lebianc | 37 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Diana Ying Wu | 19 Howe St Apt 3, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Diana L Greenia | Po Box 3288, Milford, CT 06460-0949 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diana Mateus | 54 Holly Pl, Larchmont, NY 10538-1346 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DIANA B MOISE.
| 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).