CHRISTOPHER T KOCH MD (Credential# 947653) 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.
CHRISTOPHER T KOCH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049212. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 16929 Frances St., Suite 204, Omaha, NE 68130. The current status is active.
| Licensee Name | CHRISTOPHER T KOCH MD |
| Credential ID | 947653 |
| Credential Number | 1.049212 |
| Credential Type | Physician/Surgeon |
| Business Address |
16929 Frances St., Suite 204 Omaha NE 68130 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 969262 | CSP.0049088 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-06 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 16929 Frances St., Suite 204 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason E Grennan | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Northern Lights Fund Trust IIi | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-05-15 ~ 2020-12-31 |
| Heidi J. Brammer | 17314 Poppleton Avenue, Omaha, NE 68130 | Certified Public Accountant Certificate | ~ |
| Kristyn A Trapani-campbell | 2954 South 179 Ct, Omaha, NE 68130 | Occupational Therapist Assistant | 2007-08-27 ~ 2009-07-31 |
| John M Casebolt Md | 2846 South 162 Plaza, Omaha, NE 68130 | Physician/surgeon | 2003-09-16 ~ 2004-10-31 |
| Julie A Luzarraga | 2023 S. 166 Street, Omaha, NE 68130 | Licensed Clinical Social Worker | 2006-02-24 ~ 2006-11-30 |
| Jonathan A Jaksha Md | 17310 Wright Street, Omaha, NE 68130 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mutual Fund Series Trust | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2020-03-03 ~ 2020-12-31 |
| Northern Lights Fund Trust Iv | 17605 Wright Street, Omaha, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Centerstone Investors Trust | 17605 Wright Street, Omaho, NE 68130 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Find all Licenses in zip 68130 | |||
| City | OMAHA |
| Zip Code | 68130 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OMAHA |
| 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 |
| Eric B Koch Md | 273 Fairway Xing, Glastonbury, CT 06033-1465 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| 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 |
| 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 |
| Terry L Koch Md | 1055 Washington Blvd Ste 440, Stamford, CT 06901-2218 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| 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).