DAVID MOLL (Credential# 149152) 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.
DAVID MOLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003213. 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 135 Division Street, Ansonia, CT 06401. The current status is active.
| Licensee Name | DAVID MOLL |
| Credential ID | 149152 |
| Credential Number | CSP.0003213 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
135 Division Street Ansonia CT 06401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541903 | 1.016432 | Physician/Surgeon | 1974-02-21 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 135 Division Street |
| City | Ansonia |
| State | CT |
| Zip Code | 06401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liqun Song Md | 135 Division Street, Ansonia, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Judith Heller | 135 Division Street, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lynn Kunstadt | 7 Belleview Terrave, Ansonia, CT 06401 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mann Inc | 505 Main St, Ansonia, CT 06401 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Domino's Pizza · Nbs Pizza Inc Dba | 137 N Main St, Ansonia, CT 06401 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lisa Dilorenzo Sardo | 37 Kathy Lane, Ansonia, CT 06401 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Christi Lynn Crumb | 73 Woodbridge Ave, Ansonia, CT 06401 | Notary Public Appointment | 2020-04-09 ~ 2025-04-30 |
| Maureen E Witzmann | 68 Granite Terrace, Ansonia, CT 06401 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anthony Wayne Md | 20 Westfield Avenue, Ansonia, CT 06401 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond P Ragaini | 30 Winter Street, Ansonia, CT 06401 | Notary Public Appointment | 2017-07-01 ~ 2022-06-30 |
| Margaret Rivera | 34 Church Street, Ansonia, CT 06401 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nadine Frey · Tonucci | 7 North Coe Lane, Ansonia, CT 06401 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06401 | |||
| City | Ansonia |
| Zip Code | 06401 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ansonia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen H De Moll | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Ellen Harris De Moll | 96 Truman St, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2020-02-13 ~ 2021-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cardaropoli | 260 Elm St, Enfield, CT 06082-3113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Steinberg Md | 30 Oak St, Stamford, CT 06904-0300 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| David Ryu | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-04-22 ~ 2013-02-28 |
| David J Belman Md Cm | Po Box 547, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on DAVID MOLL.
| 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).