EVERETT B COOPER MD (Credential# 147644) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
EVERETT B COOPER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004645. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is St Vincents Medical Ctr, Bridgeport, CT 06606. The current status is inactive.
| Licensee Name | EVERETT B COOPER MD |
| Credential ID | 147644 |
| Credential Number | CSP.0004645 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
St Vincents Medical Ctr Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542659 | 1.018077 | Physician/Surgeon | 1976-07-09 | 2013-10-01 - 2014-09-30 | INACTIVE |
| Street Address | ST VINCENTS MEDICAL CTR |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James D Vandermeer | 900 Pacific Ave, Everett, WA 98206 | Controlled Substance Registration for Practitioner | 1993-04-20 ~ 1995-05-01 |
| Dayna F Nethercott Pa | 8 Everett Rd, Carmel, NY 10512-2002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Bannon Md | 1929 74th Street S E, Everett, WA 98203 | Controlled Substance Registration for Practitioner | 1998-05-07 ~ 1999-02-28 |
| Jordan Everett Ross | 1379 Boulevard, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy G Lafontaine Pa | 45 Cooper Rd, Chepachet, RI 02814-1444 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Meghan M Ryan | 21 Cooper Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha L Lyman | 209 Cooper St, Agawam, MA 01001-2165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danie V. Ty | 2 Peter Cooper Rd, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alan S Berkeley Md | 11 Cooper Rd, Scarsdale, NY 10583-2801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on EVERETT B COOPER MD.
| 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).