THOMAS KOOBATIAN MD (Credential# 552835) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
THOMAS KOOBATIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035242. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 21 Elm St, New Milford, CT 06776-2915. The current status is active.
Licensee Name | THOMAS KOOBATIAN MD |
Credential ID | 552835 |
Credential Number | 1.035242 |
Credential Type | Physician/Surgeon |
Business Address |
21 Elm St New Milford CT 06776-2915 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1996-05-17 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
175379 | CSP.0024391 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 21 ELM ST |
City | NEW MILFORD |
State | CT |
Zip Code | 06776-2915 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kirstin M Pilchard Md | 21 Elm St, New Milford, CT 06776-2915 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
New Milford Hospital | 21 Elm St, New Milford, CT 06776-2915 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
New Milford Hospital Auxiliary Gift Shop | 21 Elm St, New Milford, CT 06776-2915 | Non Legend Drug Permit | 2015-01-01 ~ 2015-12-31 |
Kotaro Obunai Md | 21 Elm St, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Satya Prakash R Atmakuri Md | 21 Elm St, New Milford, CT 06776 | Physician/surgeon | 2007-10-19 ~ 2008-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
Find all Licenses in zip 06776 |
City | NEW MILFORD |
Zip Code | 06776 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW MILFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Gregor J Koobatian | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
Thomas Ho Lee | 319 Lafayette St., New York, NY 10012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Thomas P. Sculco | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Thomas R Naparst Md | 753 E 5th St Apt 1b, New York, NY 10009-7053 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Thomas P Simeone | Po Box 2460, Jupiter, FL 33468-2460 | Physician/surgeon | ~ |
Thomas A Nowicki | Tolland, CT 06084 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Thomas A. Fay | 104 River Rd, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas Yu | 79 Rt 37w, Toms River, NJ 08755 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).