PAMELA A MOORE MD (Credential# 160200) 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 A MOORE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020341. 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 1 Royce Circle, Storrs, CT 06268. The current status is active.
Licensee Name | PAMELA A MOORE MD |
Credential ID | 160200 |
Credential Number | CSP.0020341 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1 Royce Circle Storrs CT 06268 |
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 | 2019-02-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
550035 | 1.032427 | Physician/Surgeon | 1992-07-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 1 Royce Circle |
City | Storrs |
State | CT |
Zip Code | 06268 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathryn O Nettleton | 1 Royce Circle, Storrs, CT 06268 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Matthew L Hall | 1 Royce Circle, Storrs, CT 06268 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jillian P Aruda | 1 Royce Circle, Storrs, CT 06269 | Emergency Medical Technician | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
Find all Licenses in zip 06268 |
City | Storrs |
Zip Code | 06268 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Storrs |
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 J Moore | 511 Ridge Rd, Wethersfield, CT 06109 | 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).