ANDRES F MORENO (Credential# 1440241) 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.
ANDRES F MORENO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066464. 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 156 W Main St, Greenville, PA 16125-2443. The current status is active.
| Licensee Name | ANDRES F MORENO |
| Credential ID | 1440241 |
| Credential Number | CSP.0066464 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
156 W Main St Greenville PA 16125-2443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488692 | 1.058087-RES | Resident Physician | 2017-06-28 | 2017-06-28 - 2020-06-30 | ACTIVE |
| Street Address | 156 W MAIN ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-2443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura T Forero | 156 W Main St, Greenville, PA 16125-2443 | Resident Physician | 2017-04-10 ~ 2022-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gayle L Baetz | 612 Mercer Road, Greenville, PA 16125 | Registered Nurse | 2010-07-01 ~ 2011-06-30 |
| Kimberly Beth Weaver | 12 Sherrard Ave, Greenville, PA 16125-1842 | Advanced Practice Registered Nurse | 2019-06-11 ~ 2020-04-30 |
| Kenneth V Hogenmiller | 126 S. Mercer Street, Greenville, PA 16125-1938 | Crane Operator | 1998-01-07 ~ 2000-01-06 |
| Paul W Lebarron | 235 Oniontown Rd, Greenville, PA 16125-8431 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Scot Nottingham | 349 Coal Hill Rd, Greenville, PA 16125-8623 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Clifford W Marshall | 1304 Brentwood Dr, Greenville, PA 16125-8811 | Optician | 2012-09-01 ~ 2013-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| A M King Construction Company LLC | 400 Regent Park Court, Greenville, SC 29607 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Christopher R Sidden | 3620 Pelham Rd # 149, Greenville, SC 29615-5044 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Debra A Macko | 186 Meadowbrook Ln, Greenville, NY 12083-9543 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
| Jimina Katura Keys | 209 Pin Oak Ct, Greenville, NC 27858-4123 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ruth Allison Mcdade | 805 Mauldin Rd 1217, Greenville, SC 29607 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Michelle Sproat | 16 W Faris Rd, Greenville, SC 29605-1814 | Registered Nurse | ~ |
| Marsha Nowell Rehm | 2806 Edwards St, Greenville, NC 27858-4005 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lori Anne Kelly | 942 Greenville Ave, Greenville, RI 02828-3126 | Registered Nurse | 2020-06-16 ~ 2021-02-28 |
| Lori Ann Carpenter | 11 Sprague St, Greenville, RI 02828-2112 | Respiratory Care Practitioner | 2020-06-11 ~ 2021-04-30 |
| American Leprosy Mission Inc | 1 Alm Way, Greenville, SC 29601-3060 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in GREENVILLE | |||
| City | GREENVILLE |
| Zip Code | 16125 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenda E Chacon-moreno | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andres G Zuleta | 18 Gaylord Farm Rd, Wallingford, CT 06492-2872 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Andres Reig Ruiz | 267 Grant St., Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andres Fernandez | 360 State St Apt 2619, New Haven, CT 06510-3627 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Andres A Ramos Henriquez | 200 Retreat Ave, Hartford, CT 06106-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andres Nieto | 190 Mountain Brook Dr, Cheshire, CT 06410-3545 | Controlled Substance Registration for Practitioner | 2019-10-18 ~ 2021-02-28 |
| Miguel Andres Mantilla | 323 Fairfield Ave Apt 508, Bridgeport, CT 06604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andres Felipe Sanchez | 46 Park Pl Apt 5, Branford, CT 06405-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alejandro Andres Bautista | 481 Maple Ave, Cheshire, CT 06410-2166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander J Kim | 23824 Ridge Point Ct, Moreno Valley, CA 92557-2935 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on ANDRES F MORENO.
| 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).