CAROLYN M KOSACK (Credential# 549186) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CAROLYN M KOSACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031444. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Cottage Grove Cardiology, PC, Bloomfield, CT 06002. The current status is active.
| Licensee Name | CAROLYN M KOSACK |
| Credential ID | 549186 |
| Credential Number | 1.031444 |
| Credential Type | Physician/Surgeon |
| Business Address |
Cottage Grove Cardiology, PC Bloomfield CT 06002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-03-29 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158550 | CSP.0018994 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Cottage Grove Cardiology, PC |
| City | Bloomfield |
| State | CT |
| Zip Code | 06002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jawad Haider Md | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ronald J Bloom Dr | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Vincent Romano Md | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy Patel | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Theresa Santos | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brett Nowlan | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | Bloomfield |
| Zip Code | 06002 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bloomfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn D Howard | P.o. Box 672, Ashway, RI 02804 | Physician/surgeon | 2003-08-11 ~ 2004-08-31 |
| Carolyn A Deshefy | 67 Old Mill Rd, Middletown, CT 06457 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Carolyn A Clark Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carolyn Jones Md | 36 Clark Ln, Waterford, CT 06385 | Physician/surgeon | 2004-01-12 ~ 2005-02-28 |
| Carolyn M Sofka | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Carolyn E Thompson | 210 E 64th St Fl 4, New York, NY 10065-7471 | Physician/surgeon | 2015-08-04 ~ 2016-08-31 |
| Carolyn M Salafia | 187 Overlook Circle, New Rochelle, NY 10804 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carolyn B Becker | 35 Haris Road, Brewster, NY 10509 | Physician/surgeon | 1996-02-16 ~ 1996-12-31 |
| Carolyn L Rochester | 49 Cranberry Lane, Cheshire, CT 06410 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carolyn H Thompson Md | 48 Harbor View Ave, Norwalk, CT 06854 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Please comment or provide details below to improve the information on CAROLYN M KOSACK.
| 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).