ANNE SPICHLER MOFFARAH (Credential# 1642876) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ANNE SPICHLER MOFFARAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063780. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 21112 Town Walk Dr Apt 21112, Hamden, CT 06518-3757. The current status is active.
| Licensee Name | ANNE SPICHLER MOFFARAH |
| Credential ID | 1642876 |
| Credential Number | 1.063780 |
| Credential Type | Physician/Surgeon |
| Business Address |
21112 Town Walk Dr Apt 21112 Hamden CT 06518-3757 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1676442 | CSP.0071973 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-17 | 2019-07-17 - 2021-02-28 | ACTIVE |
| Street Address | 21112 TOWN WALK DR APT 21112 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3757 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Rose Fredrick | 21113 Town Walk Dr, Hamden, CT 06518-3757 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Daniel Robert Brophy | 21114 Town Walk Dr, Hamden, CT 06518-3757 | Certified Public Accountant Certificate | 2020-01-02 ~ 2020-12-31 |
| Anna Harutyunyan | 21122 Town Walk Dr, Hamden, CT 06518-3757 | Certified Public Accountant License | 2017-01-01 ~ 2017-12-31 |
| Heidi L Diminico | 21111 Town Walk Dr, Hamden, CT 06518-3757 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Pierre Ghattas Dds | 21131 Town Walk Dr, Hamden, CT 06518-3757 | Dentist | 2010-05-01 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Anne L Lally Md | 505 Willard Ave, Newington, CT 06111-2650 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anne E Allan | 28 Kingswood Rd., Auburndale, MA MA | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Anne M Ferris | 62 Rockledge Rd #1a, Hartsdale, NY 10530 | Physician/surgeon | 2000-03-06 ~ 2000-09-30 |
| Anne B. Platt | 127 Beethoven Ct, Eastport, NY 11941-1603 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Anne Pearl | 17 Keeler Pl, Ridgefield, CT 06877 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Anne M Weisensee | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Anne M Weber | 17 Trumbull St, Manchester, CT 06040 | Physician/surgeon | 1992-02-24 ~ 1993-02-28 |
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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).