BRIAN w COOPER MD (Credential# 148330) 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.
BRIAN w COOPER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010331. 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 208 Avenue C, Ponte Vedra Beach, FL 32082. The current status is active.
| Licensee Name | BRIAN w COOPER MD |
| Credential ID | 148330 |
| Credential Number | CSP.0010331 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
208 Avenue C Ponte Vedra Beach FL 32082 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544355 | 1.022908 | Physician/Surgeon | 1981-07-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 208 Avenue C |
| City | Ponte Vedra Beach |
| State | FL |
| Zip Code | 32082 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dawn N Cooper | 208 Avenue C, Ponte Vedra Beach, FL 32082 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia M. Schmidt | 169 Lamp Lighter Lane, Ponte Vedra Beach, FL 32082 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Cape Coral Portfolio, LLC | 822 N A1a Hwy, Ste 310, Ponte Vedra Beach, FL 32082 | Securities - Exemptions | 2020-03-23 ~ |
| Joshua M Buono | 173 Aruba Lane, Ponte Vedra Beach, FL 32082 | Architect | 2020-02-12 ~ 2020-07-31 |
| Monica Moore Aprn | 109 Bent Pine Court, Ponte Vedra Beach, FL 32082 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shoreline Equity Partners Feeder Fund, L.p. | 135 Professional Drive, Suite 104, Ponte Vedra Beach, CA 32082 | Securities - Exemptions | 2019-12-26 ~ |
| Saroras Hippo Gp, LLC | 961 Ponte Vedra Boulevard, Ponte Vedra Beach, FL 32082 | Securities - Exemptions | ~ |
| Shoreline Equity Partners Fund, L.p | 135 Professional Drive, Ponte Vedra Beach, FL 32082 | Securities - Exemptions | 2019-11-19 ~ |
| Erika Rogers Marino | 100 Palm Bay Ct, Ponte Vedra Beach, FL 32082 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
| Anitha Patel | 8031 Pebble Creek Lane W, Ponte Vedra Beach, FL 32082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John M Bates | 500 Sandiron Circle, Ponte Vedra, FL 32082 | Real Estate Broker | 1997-06-01 ~ 1998-05-31 |
| Find all Licenses in zip 32082 | |||
| City | Ponte Vedra Beach |
| Zip Code | 32082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ponte Vedra Beach |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
| Danie V. Ty | 2 Peter Cooper Rd, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Timothy Burton | 67 Cooper Pl, New Haven, CT 06515-1805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad Sharbatji | 7 Cooper Ave, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Meghan M Ryan | 21 Cooper Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan S Berkeley Md | 11 Cooper Rd, Scarsdale, NY 10583-2801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Smith | 100 Cooper St Apt 2f, New York, NY 10034-2312 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Folake Shogbola | 86 Cooper Pl., New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-10-05 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BRIAN w 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).