MATTHEW J MOORE (Credential# 1253504) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2019. The license expiration date date is January 31, 2020. The license status is ACTIVE.
MATTHEW J MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003243. The credential type is physician assistant. The effective date is February 1, 2019. The expiration date is January 31, 2020. The business address is 55 Langdon Ct, Berlin, CT 06037-1316. The current status is active.
| Licensee Name | MATTHEW J MOORE |
| Credential ID | 1253504 |
| Credential Number | 23.003243 |
| Credential Type | Physician Assistant |
| Business Address |
55 Langdon Ct Berlin CT 06037-1316 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-11-13 |
| Effective Date | 2019-02-01 |
| Expiration Date | 2020-01-31 |
| Refresh Date | 2018-11-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1254886 | CSP.0059018 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-14 | 2017-03-01 - 2019-02-28 | LAPSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew J Moore | 18 Sherman St, Hartford, CT 06115 | Engineer-in-training | ~ |
| Matthew J Moore | 78 Karlsen Lake Rd, Brewster, NY 10509-3701 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Street Address | 55 LANGDON CT |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-1316 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayme S Fralick | 55 Langdon Ct, Berlin, CT 06037-1316 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | BERLIN |
| Zip Code | 06037 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BERLIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Moore | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Jenna Rae Miller | 298 Moore Street, Chicopee, MA 01013 | Physician Assistant | 2020-02-19 ~ 2021-02-28 |
| Marybeth A Moore | 60 Ridgewood Rd, West Hartford, CT 06107-2925 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew M Faucher | 26 Hawthorne Pl, North Andover, MA 01845-4205 | Physician Assistant | ~ |
| Matthew D Nankin | 138 Fair St, Wallingford, CT 06492-4210 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Matthew B Band | 19 Worden Cir, Cheshire, CT 06410 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Matthew Wieland | 59 Maitland Rd, Stamford, CT 06906-2104 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Matthew T Mitchell Pa | 118 Osborne St Apt 1c, Danbury, CT 06810 | Physician Assistant | 2004-11-01 ~ 2005-10-31 |
| Matthew W. Musco Pa-c | 132 Clearfield Rd, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Matthew A Sleboda | 5 Finn Ln, Plainfield, CT 06374-2062 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).