RAPHAEL M COOPER (Credential# 546639) 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.
RAPHAEL M COOPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027530. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 12 Great Oak Ln, Unionville, CT 06085-1544. The current status is active.
| Licensee Name | RAPHAEL M COOPER |
| Credential ID | 546639 |
| Credential Number | 1.027530 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Great Oak Ln Unionville CT 06085-1544 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-08-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160142 | CSP.0019397 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 12 GREAT OAK LN |
| City | UNIONVILLE |
| State | CT |
| Zip Code | 06085-1544 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea J Gainey | 12 Great Oak Ln, Unionville, CT 06085-1544 | Genetic Counselor | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise K Wagner | 20 Great Oak Ln, Unionville, CT 06085-1544 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taeshin Kim | 151 Coppermine Rd., United States, CT 06085 | Nail Technician | ~ |
| Fuzzy's Foam LLC · Fuzzy's Foam Insulation | 65 Forest St, Unionville, CT 06085 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Darlene L Redman | 97 A Perry Street, Unionville, CT 06085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Morgan M Marshall | 540 Plainville Ave, Unionville, CT 06085 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Oxyair Medical LLC | P.o. Box 471, Unionville, CT 06085 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sara R Stevenson | 4 Aztec Trail, Unionville, CT 06085 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Rupalini Rawal-dhingra | 12 Newcastle Place, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julian I D Mashkovich | 424 Plainville Ave, Unionville, CT 06085 | Emergency Medical Technician | ~ |
| Daniel C Boyd | 46 Woodside Dr, Farmington, CT 06085 | Optician | 2020-09-01 ~ 2021-08-31 |
| Stephanie Caminiti Aprn | 16 Mals Way, Unionville, CT 06085 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06085 | |||
| City | UNIONVILLE |
| Zip Code | 06085 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + UNIONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronan Ali Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2008-03-04 ~ 2009-04-30 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Nana A Arthur Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2007-04-10 ~ 2008-05-31 |
| Raphael D Schwartz | 10 Shady Lane, Ridgefield, CT 06877 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Raphael T Schein | 101 B Town Green, Wilton, CT 06897 | Physician/surgeon | 1995-01-04 ~ 1996-01-31 |
| Stacie Perlman Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2007-02-23 ~ 2008-04-30 |
| Raphael Zahler | 2630 Canterbury Rd, San Marino, CA 91108 | Physician/surgeon | 1997-05-12 ~ 1998-06-30 |
| Alan H Tralins | St. Raphael Hospital, New Haven, CT 06510 | Physician/surgeon | 1983-07-26 ~ 1984-02-28 |
| Raphael S Bloch | 20 Apple Tree Drive, Stamford, CT 06906 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jay H Reich Md | Hosp of St Raphael Dept of Emrg Med, New Haven, CT 06511 | Physician/surgeon | 2000-02-14 ~ 2001-04-30 |
Please comment or provide details below to improve the information on RAPHAEL M 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).