AUSTIN MOATS (Credential# 1512721) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
AUSTIN MOATS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060836-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 400 Blake St Apt 1105, New Haven, CT 06515-4427. The current status is active.
| Licensee Name | AUSTIN MOATS |
| Credential ID | 1512721 |
| Credential Number | 1.060836-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
400 Blake St Apt 1105 New Haven CT 06515-4427 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-28 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1644093 | CSP.0070572 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-09 | 2019-04-09 - 2021-02-28 | ACTIVE |
| Street Address | 400 BLAKE ST APT 1105 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-4427 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devina Gooljar Shiwlochan | 400 Blake St Apt 1103, New Haven, CT 06515-4427 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mary M Maloney | 400 Blake St Apt 1111, New Haven, CT 06515-4427 | Athletic Trainer | 2019-08-01 ~ 2020-07-31 |
| Farah Omer Siddiqui | 400 Blake St Apt 1114, New Haven, CT 06515-4427 | Hairdresser/cosmetician | 2019-06-27 ~ 2021-06-30 |
| Rodney L Patterson Sr | 400 Blake St Apt 1102, New Haven, CT 06515-4427 | Paramedic | 2014-10-01 ~ 2015-09-30 |
| Teddy S Youn | 400 Blake St Apt 1112, New Haven, CT 06515-4427 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Nnenaya Q Agochukwu | 400 Blake St Apt 1204, New Haven, CT 06515-4427 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Janelle J Warmington | 400 Blake St Apt 1108, New Haven, CT 06515-4427 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Julia Walsh | 400 Blake St Apt 1201, New Haven, CT 06515-4427 | Registered Nurse | 2011-03-09 ~ 2012-02-29 |
| Katelyn E Engen | 400 Blake St Apt 1111, New Haven, CT 06515-4427 | Athletic Trainer | 2017-09-01 ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew R. Austin | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Austin Bass | 130 Hartford Rd, Manchester, CT 06040-5921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Austin John Mchenry | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew Reber Austin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Samuel E Austin | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Austin J Healy | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2024-06-30 |
| Austin Ryan Mchenry | 20 York Street, New Haven, CT 06510 | Resident Dentist | 2020-06-22 ~ 2021-06-30 |
| Diana M Austin · Austin Painting | 14 N Main Street, Windsor Locks, CT 06096 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Charles J Austin · C J Austin Homes | 153a Apache Ln, Stratford, CT 06497 | Home Improvement Contractor | 1996-01-17 ~ 1996-11-30 |
| Austin Eastciders Inc | 4007 Commercial Center Dr Ste 700, Austin, TX 78744-1088 | Out of State Winery | 2020-02-19 ~ 2021-02-18 |
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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).