A MICHAEL COPPA
Physician/surgeon


Address: 54 Lauren Ct, Cranston, RI 02921-3306

A MICHAEL COPPA (Credential# 1309103) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.

Business Overview

A MICHAEL COPPA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054879. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 54 Lauren Ct, Cranston, RI 02921-3306. The current status is inactive.

Basic Information

Licensee Name A MICHAEL COPPA
Credential ID 1309103
Credential Number 1.054879
Credential Type Physician/Surgeon
Business Address 54 Lauren Ct
Cranston
RI 02921-3306
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-01-21
Effective Date 2018-06-01
Expiration Date 2019-05-31
Refresh Date 2019-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1333105 CSP.0062097 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-02-12 2017-03-01 - 2019-02-28 INACTIVE

Office Location

Street Address 54 LAUREN CT
City CRANSTON
State RI
Zip Code 02921-3306

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Mark S Woolf 44 Pasture View Lane, Cranston, RI 02921 Certified Residential Real Estate Appraiser 2019-05-01 ~ 2020-04-30
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Neil T Chin 20 Ann Court, Cranston, RI 02921 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City CRANSTON
Zip Code 02921
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CRANSTON

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Dataset Information

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).

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