MICHAEL MOUSTAKAKIS MD
Controlled Substance Registration for Practitioner


Address: 35 Jolley Dr, Bloomfield, CT 06002-3062

MICHAEL MOUSTAKAKIS MD (Credential# 194062) 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.

Business Overview

MICHAEL MOUSTAKAKIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026806. 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 35 Jolley Dr, Bloomfield, CT 06002-3062. The current status is active.

Basic Information

Licensee Name MICHAEL MOUSTAKAKIS MD
Credential ID 194062
Credential Number CSP.0026806
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Jolley Dr
Bloomfield
CT 06002-3062
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-04-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
554326 1.036735 Physician/Surgeon 1998-03-27 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 35 JOLLEY DR
City BLOOMFIELD
State CT
Zip Code 06002-3062

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
David A Feingold Md 35 Jolley Dr, Bloomfield, CT 06002-3062 Physician/surgeon 2020-04-01 ~ 2021-03-31
Roy A Kellerman Md 35 Jolley Dr, Bloomfield, CT 06002 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Scott A Bissell Advanced Orthopedics New England, Bloomfield, CT 06002-3062 Physician/surgeon 2020-09-01 ~ 2021-08-31
Ari B Geller 35 Jolley Dr Ste 203, Bloomfield, CT 06002-3062 Physician/surgeon 2020-09-01 ~ 2021-08-31
The Good Dog Spot 15 Jolley Dr, Bloomfield, CT 06002-3062 Commercial Kennel 2019-01-01 ~ 2020-12-31
Kristin D Mcgregor Md 57 Jolley Dr, Bloomfield, CT 06002-3062 Physician/surgeon 2020-06-01 ~ 2021-05-31
Eileen Comia 35 Jolley Dr Ste 102, Bloomfield, CT 06002-3062 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Brett L Wasserlauf 35 Jolley Dr Ste 301, Bloomfield, CT 06002-3062 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Kesone Taletia Telfer 36 Walsh Street, Bloomfield, CT 06002 Advanced Practice Registered Nurse ~
Joan Zito Upton 106 Duncaster Road, Bloomfield, CT 06002 Dental Hygienist 2020-08-01 ~ 2021-07-31
Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
Kaman Aerospace Corporation Old Windsor Road, Bloomfield, CT 06002 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06002

Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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Dataset Information

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).

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