PAMELA J MOORE (Credential# 159969) 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.
PAMELA J MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020282. 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 511 Ridge Rd, Wethersfield, CT 06109. The current status is active.
| Licensee Name | PAMELA J MOORE |
| Credential ID | 159969 |
| Credential Number | CSP.0020282 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
511 Ridge Rd Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550063 | 1.032455 | Physician/Surgeon | 1992-07-17 | 2019-05-01 - 2020-04-30 | ACTIVE |
| Street Address | 511 ridge rd |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela A Moore | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela A Moore Md | 1 Royce Circle, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roger A Moore Od | 275 Tepi Dr, Southbury, CT 06488-1024 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Iris Moore | 211 S Main St Apt 2c, Middletown, CT 06457-3726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie J Moore | 56 Cervens Rd, Tolland, CT 06084-2310 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Morgan F Moore Jr | C/o Robert J, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2001-03-12 ~ 2002-02-28 |
| Hallie E Moore | 660 Prospect Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christopher D Moore Pa | 22 Tucker St, Danbury, CT 06810-5133 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle E Moore O.d. | 683 Broad St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen L Moore | 45 Enrico Rd, Bolton, CT 06043-7554 | 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).