ROBERT JOSEPH COOPER (Credential# 1359559) is licensed (Physician/surgeon) 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.
ROBERT JOSEPH COOPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055818. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 20 Cherry Ln, Longmeadow, MA 01106-1608. The current status is active.
Licensee Name | ROBERT JOSEPH COOPER |
Credential ID | 1359559 |
Credential Number | 1.055818 |
Credential Type | Physician/Surgeon |
Business Address |
20 Cherry Ln Longmeadow MA 01106-1608 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-10-13 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1440707 | CSP.0066489 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-04 | 2017-08-04 - 2019-02-28 | LAPSED |
Street Address | 20 CHERRY LN |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1608 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONGMEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONGMEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph Michael Wiener | 62 Cooper Sq Apt 4b, New York, NY 10003-7101 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Robert B Cooper | 102 Kellogg Street, Brookfield, CT 06804 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Joseph H Henry | 5018 Lakewood Drive, Cooper City, FL 33330 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert Joseph Boland | 352 Honaco Lane, Glastonbury, CT 06033 | Physician/surgeon | 1989-08-25 ~ 1991-08-31 |
Cyril Joseph Md | 15 D Robert Treat Drive, Milford, CT 06460 | Physician/surgeon | ~ 2000-03-31 |
Robert Joseph Dachs | 14 Sherry Dr, East Hampton, CT 06424-1016 | Physician/surgeon | 1989-02-03 ~ 1992-02-28 |
Raphael M Cooper | 12 Great Oak Ln, Unionville, CT 06085-1544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael J O'leary | 2 Cooper Dr, Ossining, NY 10562 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Chi Tang | 41 Cooper Place, New Haven, CT 06515 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kieran A Cooper | 93 Wintonbury Ave, Bloomfield, CT 06002 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
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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).