PETER C MOODY (Credential# 541149) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 9, 1994. The license expiration date date is September 30, 1995. The license status is INACTIVE.
PETER C MOODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014539. The credential type is physician/surgeon. The effective date is September 9, 1994. The expiration date is September 30, 1995. The business address is 6424 Kingspointe Rd, Grand Blanc, MI 48439. The current status is inactive.
| Licensee Name | PETER C MOODY |
| Credential ID | 541149 |
| Credential Number | 1.014539 |
| Credential Type | Physician/Surgeon |
| Business Address |
6424 Kingspointe Rd Grand Blanc MI 48439 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1970-09-01 |
| Effective Date | 1994-09-09 |
| Expiration Date | 1995-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 6424 KINGSPOINTE RD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Whei Ying Lim | 6202 Thornridge Drive, Grand Blanc, MI 48439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John R Masson | 9127 Graytrax Rd, Grand Blanc, MI 48439 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Jenna Lynn Samelak | 7204 Thornridge Drive, Grand Blanc, MI 48439 | Registered Nurse | 2016-03-08 ~ 2016-10-31 |
| William B Black | 1369 Kings Crest Cir, Grand Blanc, MI 48439 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Karsten H Fliegner | 7491 Troutwood Drive, Grand Blanc, MI 48439 | Physician/surgeon | 2002-03-11 ~ 2003-03-31 |
| Patricia A Davin | 11157 Strathmore Court, Grand Blanc, MI 48439 | Registered Nurse | 2003-01-15 ~ 2004-03-31 |
| Clarence N Thompson | 4452 Maplewood Meadows Ave., Grand Blanc, MI 48439 | Physician Assistant | 2003-08-11 ~ 2004-08-31 |
| Valerie L Garth | 443 Lockmoor Ct, Grand Blanc, MI 48439-1550 | Registered Nurse - Temporary | 2012-11-29 ~ 2013-03-29 |
| Andrew C Andre | 4052 Still Meadow Ct, Grand Blanc, MI 48439-3441 | Professional Engineer | ~ |
| Cheryl L Rodriguez | 5295 Crestwood Dr, Grand Blanc, MI 48439-4313 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 48439 | |||
| City | GRAND BLANC |
| Zip Code | 48439 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GRAND BLANC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Moody Md | 55 Goodsell Point Rd Apt D, Branford, CT 06405 | Physician/surgeon | 2004-07-20 ~ 2005-08-31 |
| Laura O Moody | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Peter M Dean Md | Rr 1 Box 296, Woodstock, VT 05091-9507 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
| Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
| Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
| Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
Please comment or provide details below to improve the information on PETER C MOODY.
| 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).