JEREMY J. MOELLER (Credential# 1132179) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JEREMY J. MOELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051586. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 39 Dawes Ave, Hamden, CT 06517. The current status is active.
| Licensee Name | JEREMY J. MOELLER |
| Credential ID | 1132179 |
| Credential Number | 1.051586 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Dawes Ave Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-01-17 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1147530 | CSP.0054162 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-02-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 39 Dawes Ave |
| City | Hamden |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda N Brei - Moeller | 39 Dawes Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | Hamden |
| Zip Code | 06517 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl W. Moeller Md | 988 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeremy August | 333 W. Olmos, San Antonio, TX 78212 | Physician/surgeon | 2007-01-08 ~ 2007-05-15 |
| Jeremy S Breit | 16 Stream Ct, Farmington, CT 06032 | Physician/surgeon | 2005-11-28 ~ 2006-12-31 |
| Jeremy Ditelberg | 114 Denise Ter, Fairfield, CT 06824-3406 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeremy S Isaacson | 123 Old Mountain Rd, Farmington, CT 06032-1746 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Jeremy D Kaufman Md | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeremy A. Spiegel | 14 Kelly Rd, Falmouth, ME 04105-2107 | Physician/surgeon | 2012-09-24 ~ 2013-08-31 |
| Paul R Bruch | 553 Jeremy Swamp Rd, Southbury, CT 06488 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Jeremy Cotliar | 39 Country Ridge Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Shrikant Deshpande Md | 15 Jeremy Dr, East Lyme, CT 06333-1545 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on JEREMY J. MOELLER.
| 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).