JEREMY E MOSS (Credential# 560719) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEREMY E MOSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043137. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 4639 Main St, Bridgeport, CT 06606. The current status is active.
| Licensee Name | JEREMY E MOSS |
| Credential ID | 560719 |
| Credential Number | 1.043137 |
| Credential Type | Physician/Surgeon |
| Business Address |
4639 Main St Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-03-03 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379925 | CSP.0035763 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4639 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn H Moss | 15 Homewood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Roberta Moss Md | 38 Middlebrook Rd, West Hartford, CT 06119 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Roy L Moss | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Albert M Moss | 300 Aspetuck Trail, Huntington, CT 06484 | Physician/surgeon | 2000-09-26 ~ 2001-11-30 |
| R. L Moss | Yale University School of Medicine, New Haven, CT 06520-8062 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Richard F. Desouza Md | 610 Moss Farms Road, Cheshire, CT 06410 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bernard M Paladino | 3740 Moss Ridge Ct, Las Vegas, NV 89117 | Physician/surgeon | 2004-03-01 ~ 2005-03-31 |
| Robert Moss | 174 Wood Pond Road, West Hartford, CT 06107 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| David S Moss | American Radiology Assoc., P.a., Owings Mills, MD 21117 | Physician/surgeon | 2006-12-13 ~ 2007-08-31 |
| Zachary Moss Thompson | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | 2020-06-19 ~ 2020-09-30 |
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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).