ANNA L MALOY MD (Credential# 157299) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ANNA L MALOY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015778. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 106 19th St, Belleair Beach, FL 33786-3316. The current status is inactive.
| Licensee Name | ANNA L MALOY MD |
| Credential ID | 157299 |
| Credential Number | CSP.0015778 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
106 19th St Belleair Beach FL 33786-3316 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545466 | 1.025460 | Physician/Surgeon | 1984-08-15 | 2015-10-01 - 2016-09-30 | INACTIVE |
| Street Address | 106 19TH ST |
| City | BELLEAIR BEACH |
| State | FL |
| Zip Code | 33786-3316 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Stephen Ciccio | 2508 Bayshore Drive, Belleair Beach, FL 33786 | Notary Public Appointment | 2017-12-01 ~ 2022-11-30 |
| Lynne Safriel | 1201 Gulf Blvd, Belleair Beach, FL 33786 | Occupational Therapist | 2011-08-01 ~ 2013-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Virginia M Burgess | 941 Cedar Drive, Belleair Beach, FL 34635 | Registered Nurse | 1998-04-23 ~ 1999-01-31 |
| City | BELLEAIR BEACH |
| Zip Code | 33786 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BELLEAIR BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth Maloy | 2446 Whitney Ave, New Haven, CT 06518-3233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna P Ziganshina | 111 Park St Apt 17b, New Haven, CT 06511-5470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna M Chisilenco | 67 Cherry St Ste C2, Milford, CT 06460-8904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna E Von Reinhart | 310 Front St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna Pancheshnikov | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna S Mah Md | 4 Sugar Hollow Ct, Katonah, NY 10536 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna C Shafer | 10 Wildwood Rd Apt 101, Groton, CT 06340-4276 | Controlled Substance Registration for Practitioner | 2013-04-04 ~ 2015-02-28 |
| Anna C Evans | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anna Sharovetskaya | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2015-07-15 ~ 2017-02-28 |
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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).