TERRY L KOCH MD (Credential# 564656) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2009. The license expiration date date is October 31, 2010. The license status is INACTIVE.
TERRY L KOCH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047074. The credential type is physician/surgeon. The effective date is November 1, 2009. The expiration date is October 31, 2010. The business address is 1055 Washington Blvd Ste 440, Stamford, CT 06901-2218. The current status is inactive.
| Licensee Name | TERRY L KOCH MD |
| Credential ID | 564656 |
| Credential Number | 1.047074 |
| Credential Type | Physician/Surgeon |
| Business Address |
1055 Washington Blvd Ste 440 Stamford CT 06901-2218 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-10-09 |
| Effective Date | 2009-11-01 |
| Expiration Date | 2010-10-31 |
| Refresh Date | 2011-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 516922 | CSP.0044748 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-22 | 2008-10-22 - 2009-02-28 | INACTIVE |
| Street Address | 1055 WASHINGTON BLVD STE 440 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-2218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Athur Selkowitz · Mill River Park Collaborative | 1055 Washington Blvd Ste 101, Stamford, CT 06901-2218 | Caterer | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc E Koch Md | 450 Mamaroneck Ave Ste 201, Harrison, NY 10528 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert M Koch | 155 White Plains Rd Ste 109, Tarrytown, NY 10591-5563 | Physician/surgeon | ~ |
| William H Koch | 151 Milbank Ave, Greenwich, CT 06830 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Lawrence W. Koch Md | 16 Garden Path, Farmington, CT 06032-2728 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Daniela Hoch-koch | 346 Boylston St Apt A, Newton, MA 02459 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Eric B Koch Md | 273 Fairway Xing, Glastonbury, CT 06033-1465 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Michael A Negrey | Koch Eye Associates, Warwick, RI 02886 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Paul S Koch | 566 Tollgate Road, Warwick, RI 02886 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Christopher T Koch Md | 16929 Frances St., Suite 204, Omaha, NE 68130 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert Michael Koch | 4 Westchester Park Drive, White Plains, NY 10604 | Physician/surgeon | 2020-01-24 ~ 2020-12-31 |
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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).