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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
554326 | 1.036735 | Physician/Surgeon | 1998-03-27 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | 35 JOLLEY DR |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-3062 |
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 |
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 |
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 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael J Lim | 300 Seaside Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael A Tevosian | 680 Mix Ave 1f, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-10-08 ~ 2005-02-28 |
Michael B. Tom | 286 Overlook Dr, Greenwich, CT 06830-6720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael Yao | 132 Bell Rd, Scarsdale, NY 10583-5835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Michael S Green | P.o. Box 88, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Michael M Caruso | Po Box 988, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael Reisman Dds | 128 Lee Dr, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael D Stangler | Hartford, CT 06106 | 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).