KERRY M MOSS MD (Credential# 910225) 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.
KERRY M MOSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047138. 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 3 Ruthies Lane, West Simsbury, CT 06092. The current status is active.
| Licensee Name | KERRY M MOSS MD |
| Credential ID | 910225 |
| Credential Number | CSP.0047138 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Ruthies Lane West Simsbury CT 06092 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-01-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 907890 | 1.048348 | Physician/Surgeon | 2009-12-31 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 3 Ruthies Lane |
| City | WEST SIMSBURY |
| State | CT |
| Zip Code | 06092 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard E Schoenhardt | 7 Pasture Ln, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Agnes M Walsh | 202 Farms Village Road, West Simsbury, CT 06092 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Theodore C Hsu | 22 Fox Den Road, West Simsbury, CT 06092 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Keith R Epstein | 34 Fox Den Rd, Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Laura L Nelson | 109 Hedgehog Lane, West Simsbury, CT 06092 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Kathryn P Rothstein | 7 Sachems Trail, West Simsbury, CT 06092 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Timothy M Parker | 14 Cedar Hill Rd, West Simsbury, CT 06092 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Teresa Pfau St Denis | 55 Wildwood Rd, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jennifer R Martocchio | 6 Counrty Club Drive, West Simsbury, CT 06092 | Real Estate Salesperson | ~ |
| Felipe R Segura | 370c West Mountain Road, West Simsbury, CT 06092 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
| Find all Licenses in zip 06092 | |||
| City | WEST SIMSBURY |
| Zip Code | 06092 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristie Moss | Stamford Hospital Pob #9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jin Jiang Dds | 670 Moss Farms Rd, Cheshire, CT 06410-1964 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacquelyn E Moss | 196 Foster St, New Haven, CT 06511-2543 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Rex S Moss Md | 10 Taddei Court, Oakdale, CT 06370 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kerry L Kreidel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Mark Moss Md | 11 Fairlawn Avenue, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Zhen Wang | 670 Moss Farms Rd, Cheshire, CT 06410-1964 | Controlled Substance Registration for Practitioner | 2008-08-22 ~ 2009-02-28 |
| Kerry E Mcguire | 38 Ridge Rd, Hebron, CT 06248-1545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kerry L Sawamura | 27 Allspice Ln, Glastonbury, CT 06033-4329 | Controlled Substance Registration for Practitioner | 2019-09-13 ~ 2021-02-28 |
| Kerry M Phelan | 2 Shea Dr, Pawcatuck, CT 06379-2234 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 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).