JAVIER MOTTA (Credential# 1262511) 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.
JAVIER MOTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059229. 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 8108 264th St, Glen Oaks, NY 11004-1524. The current status is active.
| Licensee Name | JAVIER MOTTA |
| Credential ID | 1262511 |
| Credential Number | CSP.0059229 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8108 264th St Glen Oaks NY 11004-1524 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-01-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1237856 | 23.003176 | Physician Assistant | 2014-09-04 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1243771 | CSP.0058661 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-09-06 | 2014-09-06 - 2015-02-28 | INACTIVE |
| Street Address | 8108 264TH ST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1524 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prabhjot Singh | 83-14 266th St, Floral Park, NY 11004 | Physician/surgeon | ~ |
| Alby Ann Jacob | 74-10 263rd St, Glen Oaks, NY 11004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gunjan U Khandwala | 83-14 262nd Street, Floral Park, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Narendra Vora | 73-49 260 Street, Glen Oaks, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Palmerson | 263 Street 80-35, Floral Park, NY 11004 | Notary Public Appointment | 2006-09-06 ~ 2011-09-30 |
| Anne Elizabeth Spencer | 261-08b Langston Ave, Glen Oaks, NY 11004 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Soon-jung Fong | 26033 73rd Ave, Glen Oaks, NY 11004 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Patricia E Ziske | P.o. Box 40302, Glen Oaks, NY 11004 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Srinivasa Rao Komirisetty | 7554 255th St #a1, Glen Oaks, NY 11004 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Mandeep S Sahi | 76-16 264 St, Glen Oaks, NY 11004 | Home Improvement Contractor | 2006-11-27 ~ 2007-11-30 |
| Find all Licenses in zip 11004 | |||
| City | GLEN OAKS |
| Zip Code | 11004 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLEN OAKS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra I Motta Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jishu Motta | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Jishu K Motta | 4309 47th Ave, Sunnyside, NY 11104-2662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier Salabarria Md | Po Box 163, Winsloe, PE C1E 1Z2 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier B C Lavaudo Md | 37 Frahus St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2006-12-14 ~ 2007-02-28 |
| Javier B Cairo Md | 84 Howe St #10, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Javier J Davila Md | 1 Audubon St Ste 201, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel Javier Md | 42 Woodside Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Javier Lopez | 775 Orange Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Javier B Cairo-lavado Md | 13 Clark St Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on JAVIER MOTTA.
| 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).