ROBERT M COHEN MD (Credential# 543719) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 24, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.
ROBERT M COHEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021541. The credential type is physician/surgeon. The effective date is October 24, 2007. The expiration date is October 31, 2008. The business address is Southbury Med Assoc - 22 Old Waterbury Rd, Southbury, CT 06844. The current status is inactive.
| Licensee Name | ROBERT M COHEN MD |
| Credential ID | 543719 |
| Credential Number | 1.021541 |
| Credential Type | Physician/Surgeon |
| Business Address |
Southbury Med Assoc - 22 Old Waterbury Rd Southbury CT 06844 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1979-07-03 |
| Effective Date | 2007-10-24 |
| Expiration Date | 2008-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148830 | CSP.0008752 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | SOUTHBURY MED ASSOC - 22 OLD WATERBURY RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06844 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elise M Romanik Md | Southbury Med Assoc - 22 Old Waterbury Rd, Southbury, CT 06844 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie A O'brien | 27 Forest Road, Southbury, CT 06844 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Elizabeth B Young | 27 Lantern Park N, Southbury, CT 06844 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Grand Union | Rte 6 & Interstate 84, Southbury, CT 06844 | Bakery | 2001-02-06 ~ 2001-06-30 |
| Gu Markets LLC | Rt 6 & Interstate 84, Southbury, CT 06844 | Non Legend Drug Permit | 2001-01-02 ~ 2001-12-31 |
| Elizabeth H Tishion | 98-d Heritage Vlg, Southbury, CT 06844 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Phyllis E Knecht | 784 B Heritage Village, Southbury, CT 06844 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Evan Whalley Md | 20-c Heritage Crest, Southbury, CT 06844 | Physician/surgeon | 2000-04-21 ~ 2001-05-31 |
| Sheena R Marchand | 914-c Heritage Vill, Southbury, CT 06844 | Licensed Practical Nurse | 1997-02-14 ~ 1998-04-30 |
| Carl G Wistreich · Grand Union | Route 6 & Interstate 84, Southbury, CT 06844 | Grocery Beer | 2001-03-07 ~ 2001-06-04 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler J Langston | 278 Jacob Rd, Southbury, CT 06488-2719 | Emergency Medical Responder | 2017-06-15 ~ 2020-03-31 |
| Wanjae P Choi · Caspers Wine & Spirits | 1a Village St, Southbury, CT 06488-6691 | Package Store Liquor | 2020-07-21 ~ 2021-07-20 |
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Melissa Liu | 15 Minuteman Cir, Southbury, CT 06488-3005 | Pharmacist | ~ |
| Joann S Hanson · Hurd | 754 Georges Hill Rd, Southbury, CT 06488-2667 | Barber | 2020-07-01 ~ 2022-06-30 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Genevieve A Leonard | 31 Winmar Dr, Southbury, CT 06488-1144 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Michele B Nieminen | 108 Beecher Dr, Southbury, CT 06488-1942 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in SOUTHBURY | |||
| City | SOUTHBURY |
| Zip Code | 06844 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert B Cohen Md | 675 Tower Avenue, Hartford, CT 06112 | Physician/surgeon | 2006-01-26 ~ 2007-03-31 |
| Sheryl Cohen | 37 Stauber Dr, Plainview, NY 11803-4844 | Physician/surgeon | ~ |
| Ziv E Cohen | 200 W 57th St Ste 304, New York, NY 10019-3262 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Steven Cohen | 20 Canvin St., Kirkland, QC H4H 4S4 | Physician/surgeon | ~ |
| Wendy E Cohen | Po Box 588, Englewood, NJ 07631 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Jeffrey L Cohen | One State St., Hartford, CT 06103 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Inbal Cohen | P. O. Box 660070, Birmingham, AL 35266 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victor Cohen Md | 24 Wondy Way, Danbury, CT 06811 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian Cohen | 58 Hilltop Cir, Milford, CT 06460-7526 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lawrence S Cohen Md | 633 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).