BRYAN J MOORE (Credential# 1669414) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
BRYAN J MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064285. The credential type is physician/surgeon. The effective date is September 23, 2019. The expiration date is July 31, 2020. The business address is 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141. The current status is active.
| Licensee Name | BRYAN J MOORE |
| Credential ID | 1669414 |
| Credential Number | 1.064285 |
| Credential Type | Physician/Surgeon |
| Business Address |
5220 Jimmy Lee Smith Parkway Hiram GA 30141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-23 |
| Effective Date | 2019-09-23 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-09-23 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan J Moore | 79 Shelley Rd, Meriden, CT 06451-4950 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Street Address | 5220 Jimmy Lee Smith Parkway |
| City | Hiram |
| State | GA |
| Zip Code | 30141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark N Rubin | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lilian Moragwa Nyareru | 114 High Point Way, Hiram, GA 30141 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Roy Armand Poblete | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rolanda Jefferson | 79 Kennedy Ct, Hiram, GA 30141 | Registered Nurse - Temporary | 2017-06-28 ~ 2017-10-25 |
| Yolanda J Dillon | 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
| Patricia M Brooks · Mayer | 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 | Licensed Practical Nurse | 2011-07-01 ~ 2012-06-30 |
| Sarah A Atha | 94 Wisteria Drive, Hiram, GA 30141 | Registered Nurse | 2009-05-28 ~ 2010-07-31 |
| David J Craven | 160 Pooles Bend Ct, Hiram, GA 30141 | Electrical Unlimited Journeyperson | 1996-10-01 ~ 1997-09-30 |
| Preet Martand Varade | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael Katsnelson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 30141 | |||
| City | Hiram |
| Zip Code | 30141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hiram |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
| Bryan E. Sage | 305 Woodrow Ave, Southport, CT 06890 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bryan J Blonder Do | C/o Mike Esposito, Bel Air, MD 21015 | Physician/surgeon | 2001-09-04 ~ 2002-10-31 |
| Bryan Ebert | 760 Westchester Ave Fl 2, Rye Brook, NY 10573-1341 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Bryan R Holland Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bryan C Yen Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bryan T Irvin | 1215 Greenmont Cir, Vienna, WV 26105 | Physician/surgeon | ~ 1998-08-31 |
| Bryan Mathew Brown | 275 Winchester Ave, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bryan D Berkey | 1357 Mokulua Dr, Kailua, HI 96734-3251 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Bryan C Bridges | 8 Half Penny Ln, Exeter, NH 03833-4583 | Physician/surgeon | 2014-08-13 ~ 2015-05-31 |
Please comment or provide details below to improve the information on BRYAN J MOORE.
| 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).