THERESA E COHEN (Credential# 743413) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
THERESA E COHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001664. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 255 Beach St, West Haven, CT 06516-6108. The current status is active.
Licensee Name | THERESA E COHEN |
Credential ID | 743413 |
Credential Number | 23.001664 |
Credential Type | Physician Assistant |
Business Address |
255 Beach St West Haven CT 06516-6108 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-08-04 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
419130 | CSP.0038454 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
483346 | CSP.0042643 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-26 | 2007-09-26 - 2008-02-29 | INACTIVE |
Street Address | 255 BEACH ST |
City | WEST HAVEN |
State | CT |
Zip Code | 06516-6108 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Lauren M Cohen | 282 Washington St, Hartford, CT 06106 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Richard A Cohen | 23 Winchester Ct, Yorktown Heights, NY 10598-1839 | Physician Assistant | 2017-01-01 ~ 2017-12-31 |
Theresa Mae Labrecque | 50 West Street, Belchertown, MA 01007 | Physician Assistant | ~ |
Theresa L Mclaughlin | 300 E 75th St, New York, NY 10021-3375 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
Theresa M Yacovone | 285 Elllendale Circle, Springfield, MA 01128 | Physician Assistant | 2008-04-28 ~ 2009-04-30 |
Theresa A Skelly | 10 Villa Ln, Wappingers Falls, NY 12590-7225 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Theresa C Hanson · Day, Christine | 165 Dwight St., New Haven, CT 06511 | Physician Assistant | 2001-02-26 ~ 2002-02-28 |
Theresa M Pitassi | 304 Pinecroft Drive, Raleigh, NC 27609 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Theresa Phillips | 23 Sand Hill Rd, Ashford, CT 06278-2520 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
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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).