CHARLES D COOK MD (Credential# 540063) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 16, 2001. The license expiration date date is November 30, 2002. The license status is INACTIVE.
CHARLES D COOK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011624. The credential type is physician/surgeon. The effective date is October 16, 2001. The expiration date is November 30, 2002. The business address is 3-1 Meetinghouse Ln, Old Lyme, CT 06371. The current status is inactive.
| Licensee Name | CHARLES D COOK MD |
| Credential ID | 540063 |
| Credential Number | 1.011624 |
| Credential Type | Physician/Surgeon |
| Business Address |
3-1 Meetinghouse Ln Old Lyme CT 06371 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1964-02-04 |
| Effective Date | 2001-10-16 |
| Expiration Date | 2002-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162131 | CSP.0020842 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 3-1 MEETINGHOUSE LN |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Hollander | 116 Cook Ave, Meriden, CT 06450 | Physician/surgeon | 1993-09-23 ~ 1994-10-31 |
| Neeta Patel Md | 123 Cook Rd, Prospect, CT 06712 | Physician/surgeon | 1999-06-18 ~ 2000-07-31 |
| Jana L. Sulzer | 335 Cook Ave, Meriden, CT 06451-6259 | Physician/surgeon | 1984-06-25 ~ 1989-12-31 |
| Albert J Cook | 444 Koontz Rd, Wadsworth, OH 44281-9218 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Dina Kandil | 6 Cook St, Westborough, MA 01581-3637 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Robert E Feinstein | 352 Cook Street, Denver, CO 80206 | Physician/surgeon | 2006-09-11 ~ 2007-10-31 |
| Frank Marino | 36 Cook St, Kings Park, NY 11754-4529 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Rohan A Stern | 72 Cook Hill Rd, Windsor, CT 06095-3153 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| M Hachem Dadouch | 155 Cook Hill Rd, Wallingford, CT 06492 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
| William H Cook | 101 C Fiddler Green, Stratford, CT 06497 | Physician/surgeon | 1993-05-25 ~ 1994-05-31 |
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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).