SPENCER ROBINSON KOCH (Credential# 1529547) 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.
SPENCER ROBINSON KOCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068982. 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 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005. The current status is active.
| Licensee Name | SPENCER ROBINSON KOCH |
| Credential ID | 1529547 |
| Credential Number | CSP.0068982 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5333 Mcauley Dr Rm 6016 Ypsilanti MI 48197-1005 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1489550 | 1.061569 | Physician/Surgeon | 2018-07-02 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 5333 MCAULEY DR RM 6016 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Andrew Fatt | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ursula Sylvia Knoepp | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua Adam Rubin | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Richter Taila | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean Edward Theisen | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael James Kasotakis | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen Lee Haddlesey | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Louise Hoff | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James Paul Carl | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald Gene Yutzy | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ramin Blevins Behjatnia | 5333 Mcauley Dr Ste 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nader Roy Mohtadi | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl C Blackwood | 5613 Hampshire Lane, Ypsilanti, MI 48197 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa K Copeland | 8808 Amaranth Lane, Ypsilanti, MI 48197 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Marcie M Moore | 200 W Michigan Ave, Ypsilanti, MI 48197 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Ave Maria College of The Americas | 300 W Forest Ave., Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Eastern Michigan University Foundation | 1349 S. Huron Street, Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Opal C Williams | 4125 Hawks Cove, Ann Arbor, MI 48197 | Registered Nurse | 2004-07-12 ~ 2005-08-31 |
| Noreen Taylor | P.o. Box 972271, Ypsilanti, MI 48197 | Licensed Practical Nurse | 1984-05-30 ~ 1991-08-31 |
| Regina M Crincoli | 4855 Lakeridge St, Ypsilanti, MI 48197 | Registered Nurse | 2006-05-25 ~ 2007-07-31 |
| Douglas J Holcomb | 1455 Roosevelt, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 48197 | |||
| City | YPSILANTI |
| Zip Code | 48197 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YPSILANTI |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Koch | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phoebe E Koch | 1450 Chapel St M136, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey V Spencer Md | 820 Bestgate Rd Ste 2c, Annapolis, MD 21401-3404 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Colleen M Cattaneo | 31 Jolicoeur Ave, Spencer, MA 01562 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Andrew Szczepanski Md | 115 Spencer St, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard M Shoup Md | 112 Spencer St, Manchester, CT 06040-4601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Francesca Di Maira | 67 Spencer St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roy E Hitt Jr Md | 115 Spencer Street, Winsted, CT 06098-1194 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Spencer W Rogers | 48 Cleveland Rd, New Haven, CT 06515-2707 | Controlled Substance Registration for Practitioner | 2011-04-20 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SPENCER ROBINSON KOCH.
| 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).