HEIDI MOORE DAVIS (Credential# 1414545) is licensed (Physician/surgeon) 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.
HEIDI MOORE DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056528. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1 Park St, New Haven, CT 06504-8901. The current status is active.
| Licensee Name | HEIDI MOORE DAVIS |
| Credential ID | 1414545 |
| Credential Number | 1.056528 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Park St New Haven CT 06504-8901 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-14 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1513390 | CSP.0068012 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504-8901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephany Faye Hanna | 1 Park St, New Haven, CT 06504-8901 | Audiologist | 2020-04-01 ~ 2021-03-31 |
| Francine M Testa | 1 Park St, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn A Mcvicar | 1 Park St, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David H. Stitelman | 1 Park St Fl 2, New Haven, CT 06504-8901 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Stephanie Lynn Samuels | 1 Park St # Wp2, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-08-06 ~ 2021-02-28 |
| Kiley Edward Trott | 1 Park St Fl 2, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph A Giunta | 141 North Main St, Branford, CT 06504 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kapauner Lewis | Yale New Haven Children's Hospital, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Lindsay Rose Perrone | 48 Soundview Heights, Branford, CT 06504 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Randolph F Pareja | 104 Fresh Meadow Road, Branford, CT 06504 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rosemarie L Fisher Md | Yale New Haven Hosp, New Haven, CT 06504 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Valda R Smith | Po Box 1078, New Haven, CT 06504 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Amanda Jo Posila | 508 Fountain Street Apt C 4, New Haven, CT 06504 | Notary Public Appointment | 2012-06-22 ~ 2017-06-30 |
| Paula C Zimbrean Md | 20 York St Rm F611, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yanyun Wu | 20 York St, Ps 329c, New Haven, CT 06504 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Harry A Coe | 1 Brewery Square 327, New Haven, CT 06504 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Find all Licenses in zip 06504 | |||
| City | NEW HAVEN |
| Zip Code | 06504 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heidi E Goldberg | P.o.box 7578, Seminole, FL 33775-7578 | Physician/surgeon | 2006-02-23 ~ 2007-03-31 |
| Heidi Worth | 6 Brandywine Ln, Sandy Hook, CT 06482-1483 | Physician/surgeon | 2020-04-07 ~ 2021-04-30 |
| Bchara F Janadri | 608 Heidi Ln, Mount Pleasant, PA 15666-3595 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Heidi Morris | 5500 Maryland Way, Brentwood, TN 37027 | Physician/surgeon | 2020-01-23 ~ 2020-12-31 |
| Heidi Dupret Rowen | 70 Main St, Danbury, CT 06810-7832 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Heidi Marie Tucker | 12 Michelec Rd, Stafford Springs, CT 06076 | Physician/surgeon | 2019-07-01 ~ 2020-07-31 |
| Heidi Frutchy Deblock | 1768 Business Center Dr Ste 100, Reston, VA 20190 | Physician/surgeon | ~ |
| Heidi L Dominguez Kolek | 95 Apple Ridge, West Springfield, MA 01089 | Physician/surgeon | 1999-03-08 ~ 2000-02-29 |
| Heidi J Zapata | Yale University/dept of Medicine/section of Id, New Haven, CT 06520 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amelia Curtis | 73 Moore Ave Apt 3, Worcester, MA 01602-1846 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on HEIDI MOORE DAVIS.
| 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).