ENESHA M COBB MD (Credential# 1000575) 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.
ENESHA M COBB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049948. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 8080 Woodstock Cuba Rd, Millington, TN 38053-5163. The current status is active.
| Licensee Name | ENESHA M COBB MD |
| Credential ID | 1000575 |
| Credential Number | 1.049948 |
| Credential Type | Physician/Surgeon |
| Business Address |
8080 Woodstock Cuba Rd Millington TN 38053-5163 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1001623 | CSP.0050434 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-14 | 2011-06-14 - 2013-02-28 | INACTIVE |
| Street Address | 8080 WOODSTOCK CUBA RD |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38053-5163 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Kizer | 4318 Jeffery Street, Millington, TN 38053 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Kasey Nicole Coletta | 3365 Rast Rd, Millington, TN 38053 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Glen A Miller | 2332 Little John Rd., Millington, TN 38053 | Respiratory Care Practitioner | 2008-05-23 ~ 2009-05-31 |
| Deanna K Speight | 6473 Pleasant Ridge Road, Millington, TN 38053 | Registered Nurse | 2002-01-03 ~ 2003-02-28 |
| Nancy L Owen | 7350 Millington Arlington Rd, Millington, TN 38053 | Registered Nurse | 2003-02-19 ~ 2004-04-30 |
| Cathy J Chancey | 7984 Quinn Cir, Millington, TN 38053-2018 | Registered Nurse | ~ |
| Tracy Ann Anderson | 4049 Kerr Rd, Millington, TN 38053-4316 | Registered Nurse - Temporary | 2018-02-27 ~ 2018-06-26 |
| David E Canup | 8960 Brunswick Rd, Millington, TN 38053-4979 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Veronica N Lindo | 381 Ridgeway Ln, Millington, TN 38053-8919 | Registered Nurse - Temporary | 2015-03-13 ~ 2015-07-10 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Todd Russell Heacock | 136 Cross Hill Road, Millington, NJ 07946 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Thomas M Marko | 60 Northfield Rd, Millington, NJ 07946-1325 | Professional Engineer | 2012-06-12 ~ 2013-01-31 |
| Barrett Roofs Inc | 33 Stone House Rd, Millington, NJ 07946-1338 | Home Improvement Contractor | ~ |
| Woong Seon Ryou | 31 Cooper Ln, Millington, NJ 07946-1367 | Asbestos Abatement Worker | 2010-03-25 ~ 2010-06-30 |
| Liem T Ngo Md | 10276 Milliman Rd, Millington, ID 48746 | Physician/surgeon | 2001-09-04 ~ 2002-09-30 |
| Ilseon Ryou | 31 Cooper Lane, Millington, NJ 07946 | Asbestos Abatement Worker | 2008-07-16 ~ 2008-11-30 |
| City | MILLINGTON |
| Zip Code | 38053 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MILLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl W Cobb | 12 Lindsay Drive, Greenwich, CT 06830 | Physician/surgeon | 1995-10-25 ~ 1996-10-31 |
| Richard J Cobb Md | John Dempsey Hospital, Farmington, CT 06030 | Physician/surgeon | 2007-03-07 ~ 2008-04-30 |
| Samuel A Taylor | 15 Cobb Island Drive, Greenwich, CT 06830 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cobb Rx · Kyle Yeager/president Ceo | 1800 Sandy Plains Pkwy Ste 112, Marietta, GA 30066 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2004-07-01 ~ 2005-06-30 |
| Cobb Pharmacy Inc | 3745 Cherokee St Nw Ste 604, Kennesaw, GA 30144-6785 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-07-26 ~ 2020-06-30 |
| Cobb's Opt Shoppe Ltd | Pfizer Pharm Div, Groton, CT 06379 | Optical Selling Permit | 2007-06-26 ~ 2008-08-31 |
| Abbott & Cobb | 4151 E Street Rd, Feasterville Trevose, PA 19053-4960 | Seed Labeler | 2019-04-01 ~ 2020-03-31 |
| Kenneth W Cobb | 11900 Parklawn Dr, Rockville, MD 20852 | Professional Engineer | 1986-02-18 ~ 1987-01-31 |
| Cobb's Optical Shoppe Ltd | 9 Roosevelt Avenue, Mystic, CT 06355 | Optical Selling Permit | 1998-08-07 ~ 1999-08-31 |
| Cobb's Optical Shoppeltd | C/o Pfizer Central, Groton, CT 06340 | Optical Selling Permit | 2012-09-01 ~ 2013-08-31 |
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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).