IRIS MOORE (Credential# 1514063) 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.
IRIS MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068088. 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 211 S Main St Apt 2c, Middletown, CT 06457-3726. The current status is active.
| Licensee Name | IRIS MOORE |
| Credential ID | 1514063 |
| Credential Number | CSP.0068088 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
211 S Main St Apt 2c Middletown CT 06457-3726 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1501896 | 1.060563 | Physician/Surgeon | 2018-05-04 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1488690 | 1.058085-RES | Resident Physician | 2014-07-01 | 2014-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 211 S MAIN ST APT 2C |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3726 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Foundation of Middlesex County Inc | 49 Main St, Middletown, CT 06457-3726 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Nicholas Ramcke Fund | 211 S Main St, Middletown, CT 06457-3726 | Bazaar Permit Class 3 | 2016-08-06 ~ 2016-08-06 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Iris L Moore | 126 Vera St Apt 2, West Hartford, CT 06119-1953 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Iris Chandler | 558 Chapel St Apt 3, New Haven, CT 06511-6918 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Iris Nagin | 32 Pine St Apt 9, Norwalk, CT 06854-2215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George J Costanzo | 6 Iris Way, Berlin, CT 06037-5001 | Controlled Substance Registration for Practitioner | 2019-09-12 ~ 2021-02-28 |
| Iris S Guillemette | 63 Bank St Apt 6a, Waterbury, CT 06702-2206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelly E Cozine Aprn | 3 Iris Way, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Iris Isufi Md | 4 Wheeler Gate, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary K Cozine Aprn | 3 Iris Way, Berlin, CT 06037-5000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Iris G Streimish | Dept of Pediatrics/ Neonatology, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Pamela A Moore | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).