PATRICK KOO (Credential# 475610) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
PATRICK KOO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041685. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 22 Church Ter, Newington, CT 06111-5550. The current status is inactive.
| Licensee Name | PATRICK KOO |
| Credential ID | 475610 |
| Credential Number | CSP.0041685 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Church Ter Newington CT 06111-5550 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-07-05 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 911230 | 1.048605 | Physician/Surgeon | 2010-03-31 | 2011-12-01 - 2012-11-30 | INACTIVE |
| Street Address | 22 CHURCH TER |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-5550 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick Brew | Po Box 266, Bridgewater, CT 06752-0266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick K Fox | 168 Fairview Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Mcauliffe | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Patrick C Malloy Md | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | Controlled Substance Registration for Practitioner | 2015-09-08 ~ 2017-02-28 |
| Patrick W Mcgary | 151 Mason Rd, Jefferson, MA 01522-1314 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Patrick Chery | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick W Stroh | 23 Maple St, Trumbull, CT 06611-3516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick M O'beirne | 314 E Spencer Ln, Galloway, NJ 08205-3256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick O'connor Md | 27 Inwood Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Please comment or provide details below to improve the information on PATRICK KOO.
| 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).