STEPHEN KOCH (Credential# 1342925) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEPHEN KOCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062362. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254. The current status is active.
| Licensee Name | STEPHEN KOCH |
| Credential ID | 1342925 |
| Credential Number | CSP.0062362 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2678 South Rd Ste 202 Poughkeepsie NY 12601-5254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561479 | 1.043897 | Physician/Surgeon | 2005-10-26 | 2019-03-01 - 2020-02-29 | ACTIVE |
| Street Address | 2678 SOUTH RD STE 202 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-5254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce R Gendron Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nancy A Cooper | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Emil Shih Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yiping Zhang | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard J Friedland Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jon M Lewis Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael Bromley Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mira Herman | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victor D Gaines Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan J Crystal Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 12601 | |||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POUGHKEEPSIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phoebe E Koch | 1450 Chapel St M136, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Spencer Robinson Koch | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen D Rosenman | Fairfield, CT 06824-1983 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen V Sharnick | York, PA 17404 | Controlled Substance Registration for Practitioner | 2011-07-17 ~ 2013-02-28 |
| Stephen E Adolfsen | 22 Ark Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen C Malinconico Dmd | 770 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Donis Dpm | 833 Summer St, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 1997-05-29 ~ 1998-02-28 |
| Stephen F Chiu | 123 York St Apt 3b, New Haven, CT 06511-5621 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on STEPHEN KOCH.
| 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).