KAREN MOODY MD (Credential# 558018) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 20, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.
KAREN MOODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040435. The credential type is physician/surgeon. The effective date is July 20, 2004. The expiration date is August 31, 2005. The business address is 55 Goodsell Point Rd Apt D, Branford, CT 06405. The current status is inactive.
| Licensee Name | KAREN MOODY MD |
| Credential ID | 558018 |
| Credential Number | 1.040435 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Goodsell Point Rd Apt D Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-05-16 |
| Effective Date | 2004-07-20 |
| Expiration Date | 2005-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 315927 | CSP.0032336 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-01 - 2005-02-28 | INACTIVE | |
| 311456 | CSP.0032149 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-05-28 - 2003-02-28 | INACTIVE |
| Street Address | 55 GOODSELL POINT RD APT D |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura O Moody | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Peter C Moody | 6424 Kingspointe Rd, Grand Blanc, MI 48439 | Physician/surgeon | 1994-09-09 ~ 1995-09-30 |
| Karen Tam | 101 Maple Ave, Greenwich, CT 06830 | Physician/surgeon | ~ |
| Karen Fischer | CT | Physician/surgeon | 1986-11-28 ~ 1992-05-31 |
| Karen A Mcarthur | Po Box 697, Glastonbury, CT 06033-0697 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Karen E Smith | 118 Moody Street, Bristol, CT 06010 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Effie C Chang | 282 Karen Dr, Orange, CT 06477-2936 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Karen A Backman Md | Po Box 1411, Camden, ME 04843-1411 | Physician/surgeon | 2002-03-27 ~ 2003-03-31 |
| Karen S Fountain Md | 408 Hampton Ave, Greenville, SC 29601-1439 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Karen Reimers | 162 Highland Ave Apt 3, Buffalo, NY 14222-1821 | Physician/surgeon | 2013-01-25 ~ 2013-09-30 |
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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).