VANESSA SHAKELIA COOPER (Credential# 2046229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 23, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
VANESSA SHAKELIA COOPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066276. The credential type is physician/surgeon. The effective date is June 23, 2020. The expiration date is March 31, 2021. The business address is 129 York St Apt 6b, New Haven, CT 06511-5656. The current status is active.
Licensee Name | VANESSA SHAKELIA COOPER |
Credential ID | 2046229 |
Credential Number | 1.066276 |
Credential Type | Physician/Surgeon |
Business Address |
129 York St Apt 6b New Haven CT 06511-5656 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-06-23 |
Effective Date | 2020-06-23 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1358358 | CSP.0062986 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
1491604 | 1.059339-RES | Resident Physician | 2017-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 129 YORK ST APT 6B |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-5656 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Margaret Meiyin Xu | 129 York St Apt 6e, New Haven, CT 06511-5656 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Wayne Yan | 129 York St Apt 6a, New Haven, CT 06511-5656 | Controlled Substance Registration for Practitioner | 2009-10-08 ~ 2011-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Katon | 400 Technology Way, Scarborough, ME 04074 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Vanessa E Gorospe | 81 Arch St., Hartford, CT 06103 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jeannlis Vanessa Sanchez | P.o. Box 1123, Bronx, NY 10472 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Vanessa Kitzis | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Vanessa Marie Myles | 510 Saw Mill Rd, Guilford, CT 06437 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Vanessa M Zayas-colon | 15 Lancer Pl, Webster, NY 14580-4313 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Vanessa A Razack | 4 Woodvale Crescent, Toronto, ON M4C 5N5 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Vanessa V Celleri Gomezcoello | 555 Brush St Apt 2204, Detroit, MI 48226-4336 | Physician/surgeon | 2013-07-12 ~ 2014-07-31 |
Uzoamaka Vanessa Onyejiaka | 671 Hoes Lane West, Piscataway, NJ 08854 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Vanessa Bromell Md | 1666 Ella Grasso Blvd, New Haven, CT 06511 | Physician/surgeon | 2007-06-11 ~ 2008-07-31 |
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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).