DONALD W COOPER MD (Credential# 147673) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
DONALD W COOPER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004373. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 75 Algonquin Dr, Mystic, CT 06355. The current status is inactive.
| Licensee Name | DONALD W COOPER MD |
| Credential ID | 147673 |
| Credential Number | CSP.0004373 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
75 Algonquin Dr Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-03-01 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 539279 | 1.008834 | Physician/Surgeon | 1958-01-28 | 1995-09-06 - 1996-09-30 | INACTIVE |
| Street Address | 75 ALGONQUIN DR |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie A Rodrigues | 75 Algonquin Dr, Mystic, CT 06355-1722 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy G Lafontaine Pa | 45 Cooper Rd, Chepachet, RI 02814-1444 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Alan Cooper Dds | 51 Brookwood Dr, Woodbridge, CT 06525-2610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Danie V. Ty | 2 Peter Cooper Rd, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| John Negugogor | 21 Cooper Ave, Milford, CT 06460-7811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Burton | 67 Cooper Pl, New Haven, CT 06515-1805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meghan M Ryan | 21 Cooper Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Smith | 100 Cooper St Apt 2f, New York, NY 10034-2312 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mohamad Sharbatji | 7 Cooper Ave, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Alan S Berkeley Md | 11 Cooper Rd, Scarsdale, NY 10583-2801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DONALD W COOPER MD.
| 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).