WANDA R MOODY MD (Credential# 161569) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
WANDA R MOODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022532. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 15 Quail Ridge, Farmington, CT 06032. The current status is inactive.
| Licensee Name | WANDA R MOODY MD |
| Credential ID | 161569 |
| Credential Number | CSP.0022532 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Quail Ridge Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551501 | 1.033902 | Physician/Surgeon | 1994-07-15 | 1996-07-24 - 1997-07-31 | INACTIVE |
| Street Address | 15 QUAIL RIDGE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elise J Connell-boudoya | 102 Moody St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Thomas U Moody | 487 Wells Road, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2009-08-06 ~ 2011-02-28 |
| Sandra Y Moody Ayers Md | 166 Linden St Apt# B6, New Haven, CT 06511-2461 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Wanda F Puckett Dds | 65 Old Rte 79 #1, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wanda N Noguera-irizarry Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wanda Bronstein | 109 Bayberry Rd, Glastonbury, CT 06033-1750 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda W Zhao Pa-c | 40 Prospect Ave Apt 1-1e, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2008-06-16 ~ 2009-02-28 |
| Wanda J Lanzone Hannigan | 51 Barnswallow Dr, Trumbull, CT 06611-2554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda Merced | 515 Middle Tuenpike West, Manchester, CT 06040-6546 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda M Kirejczyk Md | 101 North Plains Ind. Road, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).