NATALIE J MOORE (Credential# 1409722) 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.
NATALIE J MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064946. 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 56 Cervens Rd, Tolland, CT 06084-2310. The current status is active.
| Licensee Name | NATALIE J MOORE |
| Credential ID | 1409722 |
| Credential Number | CSP.0064946 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Cervens Rd Tolland CT 06084-2310 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-04-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1398140 | 1.056358 | Physician/Surgeon | 2017-04-12 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1488691 | 1.058086-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 848653 | 70.008920 | Emergency Medical Technician | 2007-10-12 | 2014-06-09 - 2017-06-30 | INACTIVE |
| Street Address | 56 Cervens Rd |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-2310 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janett Moore | 56 Cervens Rd, Tolland, CT 06084 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Uy | 111 Park St Apt 9e, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie S Uy | 78 Olive St Apt 323, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie P Pauli Md | 19 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Natalie Tumeniuk | 21 W Clark St, Milford, CT 06460-2517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie A Laucius | 227 Church St Apt 11h, New Haven, CT 06510-1823 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Natalie M March | 104 Westland Rd, Avon, CT 06001-2349 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Lourenco Pa | 103 Russell Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Galanina | 64 Robbins St, Waterbury, CT 06708-2600 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie A Guarin | 514 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Frey | 446 Old Whitfield St Apt K, Guilford, CT 06437-3468 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
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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).