DEBORAH A MOGELOF MD (Credential# 507100) 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.
DEBORAH A MOGELOF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043739. 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 5 Breezy Knoll, Westport, CT 06880. The current status is active.
| Licensee Name | DEBORAH A MOGELOF MD |
| Credential ID | 507100 |
| Credential Number | CSP.0043739 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Breezy Knoll Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564121 | 1.046539 | Physician/Surgeon | 2008-05-16 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 5 BREEZY KNOLL |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John P Aulenti Sr. | 5 Breezy Knoll, Westport, CT 06880 | Notary Public Appointment | 1968-12-09 ~ 1973-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott A Mogelof | 2499 Main St, Stratford, CT 06615-5843 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah M Link Dvm | Po Box 360, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Deborah Pan | 1 Audubon St Ste 201, New Haven, CT 06511-6431 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
| Deborah L Schroter Md | 26 Elm St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah H Chun Md | Philadelphia, PA 19116 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Deborah B Cole Pa-c | 835 Mix Avenue, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Deborah Ann Dominguez | 146 Wildwood Rd, Tolland, CT 06084-2164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah C Akinniyi | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Deborah Yarrow | 32 Pilgrim Ln, Guilford, CT 06437-1645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah Lipschitz Md | 140 Sherman St Fl 5, Fairfield, CT 06824-5849 | 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).