DENNIS COOPER (Credential# 544218) 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.
DENNIS COOPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022637. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 140 Patten Rd, North Haven, CT 06473-2830. The current status is active.
| Licensee Name | DENNIS COOPER |
| Credential ID | 544218 |
| Credential Number | 1.022637 |
| Credential Type | Physician/Surgeon |
| Business Address |
140 Patten Rd North Haven CT 06473-2830 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1981-03-13 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147643 | CSP.0012819 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 140 PATTEN RD |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Bolognia Md | 140 Patten Rd, North Haven, CT 06473 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy D Scholvin Dacosta | 136 Patten Rd, North Haven, CT 06473-2830 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Ian Chapele-conklin | 128 Patten Rd, North Haven, CT 06473-2830 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raphael M Cooper | 12 Great Oak Ln, Unionville, CT 06085-1544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chi Tang | 41 Cooper Place, New Haven, CT 06515 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| H John Cooper | 622 W 168th St Ph 11-1130, New York, NY 10032-3720 | Physician/surgeon | ~ |
| Kieran A Cooper | 93 Wintonbury Ave, Bloomfield, CT 06002 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Marcy Cooper | 48 Kent St #3, Brookline, MA 02146 | Physician/surgeon | 1993-11-10 ~ 1994-11-30 |
| Carol L Cooper Md | 17 North Ave, Norwalk, CT 06851-3837 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael J O'leary | 2 Cooper Dr, Ossining, NY 10562 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Jan H Mashman | 221 Cooper River Dr, Mount Pleasant, SC 29464-1814 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Robert B Cooper | 102 Kellogg Street, Brookfield, CT 06804 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on DENNIS COOPER.
| 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).