BRIAN T MOY (Credential# 1623174) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BRIAN T MOY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062317. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 2400 Tamarack Ave Ste 101, South Windsor, CT 06074-5556. The current status is active.
| Licensee Name | BRIAN T MOY |
| Credential ID | 1623174 |
| Credential Number | 1.062317 |
| Credential Type | Physician/Surgeon |
| Business Address |
2400 Tamarack Ave Ste 101 South Windsor CT 06074-5556 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-30 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1642589 | CSP.0070528 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-28 | 2019-03-28 - 2021-02-28 | ACTIVE |
| Street Address | 2400 TAMARACK AVE STE 101 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-5556 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evergreen Endoscopy Center LLC · Evergreen Endoscopy Center, LLC | 2400 Tamarack Ave Ste 100, South Windsor, CT 06074-5556 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Jeffrey R Breiter Md | 2400 Tamarack Ave Ste 100, South Windsor, CT 06074-5556 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian W King | Po Box 23, Willimantic, CT 06226-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Brian B. Koo | 575 Lambert Rd, Orange, CT 06477-2403 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian M Keegan | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| Brian Rank | 178 9th St E Ste 300, Saint Paul, MN 55101-2317 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Brian Mirante | 6 Carol Dr, Ivoryton, CT 06442-1278 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brian M Liebler | 435 Highland Ave # 110, Cheshire, CT 06410-2572 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on BRIAN T MOY.
| 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).