NEIL MOYNIHAN MD (Credential# 549593) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
NEIL MOYNIHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031926. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 112 Dog Ln, Storrs, CT 06268-2220. The current status is active.
| Licensee Name | NEIL MOYNIHAN MD |
| Credential ID | 549593 |
| Credential Number | 1.031926 |
| Credential Type | Physician/Surgeon |
| Business Address |
112 Dog Ln Storrs CT 06268-2220 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-09-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159310 | CSP.0020143 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 112 DOG LN |
| City | STORRS |
| State | CT |
| Zip Code | 06268-2220 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janet Welch | 128 Dog Ln, Storrs Mansfield, CT 06268-2220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John N Nollet | 56 Dog Ln, Storrs, CT 06268-2220 | Emergency Medical Technician | 2018-05-31 ~ 2021-04-01 |
| Peter L Millman | 122 Dog Ln, Storrs, CT 06268-2220 | Real Estate Salesperson | 2017-06-01 ~ 2018-03-23 |
| Elizabeth Rivera | 56b Dog Ln, Storrs Mansfield, CT 06268-2220 | Speech and Language Pathologist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neil Zilberg | 131 Ave B Apt 5b, New York, NY 10009 | Physician/surgeon | 2006-01-09 ~ 2007-01-31 |
| Neil J Scollan | Po Box 58, Amston, CT 06231-0058 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Neil D Parikh | 17 Lise Cir, Suffield, CT 06078-1381 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Neil D Ravin | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 1979-08-08 ~ 1981-05-31 |
| Neil B Bruce | 8 Lynwood Pl Apt 12, New Haven, CT 06511-4759 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Neil Jain | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Neil Pastel | 12-1 Tantummaheag Rd, Old Lyme, CT 06371 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Neil L Schechter Md | 19 Chauncy St Apt 7a, Cambridge, MA 02138-2550 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Neil C Raff | 32 Imperial Ave, Westport, CT 06880 | Physician/surgeon | 2003-01-27 ~ 2004-02-29 |
| Neil G. Haycocks | 319 Park Way E, Las Vegas, NV 89106-4818 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
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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).