ANN M MOSER OD
Controlled Substance Registration for Practitioner


Address: 38 Old Duck Hole Rd, Madison, CT 06443

ANN M MOSER OD (Credential# 217121) 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.

Business Overview

ANN M MOSER OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028535. 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 38 Old Duck Hole Rd, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name ANN M MOSER OD
Credential ID 217121
Credential Number CSP.0028535
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 38 Old Duck Hole Rd
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-08-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
763132 3.002504 Optometrist 1999-04-16 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 38 OLD DUCK HOLE RD
City MADISON
State CT
Zip Code 06443

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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Dataset Information

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).

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