EDWARD K PROKOP (Credential# 542021) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
EDWARD K PROKOP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016679. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 709 Sw 27th St, Gainesville, FL 32607-3137. The current status is active.
| Licensee Name | EDWARD K PROKOP |
| Credential ID | 542021 |
| Credential Number | 1.016679 |
| Credential Type | Physician/Surgeon |
| Business Address |
709 Sw 27th St Gainesville FL 32607-3137 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1974-06-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147769 | CSP.0010364 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 709 SW 27th St |
| City | Gainesville |
| State | FL |
| Zip Code | 32607-3137 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Continuum Services LLC | 490 Nw 60th Street Ste# 4, Gainesville, FL 32607 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Hannah Lynn Matchett | 445 Se 28th Loop, Melrose, FL 32607 | Registered Nurse | 2019-09-24 ~ 2020-06-30 |
| Westlab Pharmacy Inc | 4410 W Newberry Rd Ste A-5, Gainesville, FL 32607 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| International Home Improvers Co Inc | Po Box 626792, Orlando, FL 32607 | Home Improvement Contractor | 2000-04-04 ~ 2000-07-26 |
| Andre Spiguel | 3450 Hull Road, Gainesville, FL 32607 | Physician/surgeon | ~ |
| Bruce E Johnson | 1801 S W 85th Dr, Gainesville, FL 32607 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Laurence Goodall | 2515 Sw 100th St, Gainesville, FL 32607 | Professional Engineer | 2002-02-07 ~ 2003-01-31 |
| Jean M Melby | 7810 Sw 10th Avenue, Gainesville, FL 32607 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Elizabeth L Richmond | Po Box 90043, Gainesville, FL 32607 | Registered Nurse | 1993-05-25 ~ 1994-07-31 |
| Cindy J Schaner · Twiss | 3708 Sw 100th St, Gainesville, FL 32607 | Registered Nurse | 1998-10-15 ~ 1999-10-31 |
| Find all Licenses in zip 32607 | |||
| City | Gainesville |
| Zip Code | 32607 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Gainesville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James D Prokop | 80 Mill River St, Stamford, CT 06902 | Physician/surgeon | 1997-06-09 ~ 1998-08-31 |
| Edward R Prokop | Po Box 152, West Warren, MA 01092-0152 | Embalmer | 2012-02-01 ~ 2013-01-31 |
| Edward Prokop | 221 Park St, No Attleborough, MA 02760 | Electrical Limited Journeyperson | 2003-10-01 ~ 2004-09-30 |
| Edward B Prokop | Route #47, Washington, CT 06793 | Notary Public Appointment | 1988-02-24 ~ 1993-03-31 |
| Edward J Prokop | 262 Woodbury Road, Washington, CT 06793 | Emergency Medical Technician | ~ 1995-07-01 |
| Prokop Masonry | 50 Bundy Hill Rd, Lisbon, CT 06351 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Prokop Masonry LLC | 50 Bundy Hill Rd, Lisbon, CT 06351-3203 | Home Improvement Contractor | 2013-12-14 ~ 2014-11-30 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on EDWARD K PROKOP.
| 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).