GRACE K MOY MD
Controlled Substance Registration for Practitioner


Address: 11 1/2 Greenwich Park Apt 3, Boston, MA 02118-3003

GRACE K MOY MD (Credential# 439410) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

GRACE K MOY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039217. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 11 1/2 Greenwich Park Apt 3, Boston, MA 02118-3003. The current status is inactive.

Basic Information

Licensee Name GRACE K MOY MD
Credential ID 439410
Credential Number CSP.0039217
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 1/2 Greenwich Park Apt 3
Boston
MA 02118-3003
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-05-26
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
561856 1.044274 Physician/Surgeon 2006-04-25 2012-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 11 1/2 GREENWICH PARK APT 3
City BOSTON
State MA
Zip Code 02118-3003

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Competitor

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City BOSTON
Zip Code 02118
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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