GEORGE W MOORE (Credential# 559229) 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.
GEORGE W MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041646. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 263 Farmington Ave Fl 2, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | GEORGE W MOORE |
| Credential ID | 559229 |
| Credential Number | 1.041646 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Ave Fl 2 Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-07-09 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 343858 | CSP.0033872 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-07-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George W Moore | 183-3 Joshuatown Rd, Lyme, CT 06371 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| George W Moore | 114 Hunt Club Dr, Simpsonville, SC 29680 | Professional Engineer | 2004-07-13 ~ 2005-01-31 |
| Street Address | 263 FARMINGTON AVE FL 2 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher L Moore Md | 151 Whitfield St, Guilford, CT 06437-3429 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amelia Curtis | 73 Moore Ave Apt 3, Worcester, MA 01602-1846 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| James E Moore | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Harold M Ginzburg | 101 S Moore Ave, Claremore, OK 74017-5047 | Physician/surgeon | 1970-08-14 ~ 1978-06-30 |
| Timothy J Moore | 180 Reinhard Ave., Columbus, OH 43206 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Roger W Moore | 39 Boland Rd, Sharon, CT 06069 | Physician/surgeon | 2004-08-02 ~ 2005-09-30 |
| James R Moore | 31 Cold Spring Dr, Bloomfield, CT 06002 | Physician/surgeon | 1993-03-24 ~ 1994-02-28 |
| Ana P Camacho | 902 Clint Moore Rd Ste 226, Boca Raton, FL 33487-2828 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Franklin Moore | Departmentt of Pathology, 759 Chestnut St, MA 01199 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| John T Moore | 127 Kings Hwy North, Westport, CT 06880 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on GEORGE W MOORE.
| 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).