IAN M COHEN (Credential# 149733) 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.
IAN M COHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011112. 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 140 Grandview Ave, Waterbury, CT 06708. The current status is active.
| Licensee Name | IAN M COHEN |
| Credential ID | 149733 |
| Credential Number | CSP.0011112 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
140 Grandview Ave Waterbury CT 06708 |
| 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 | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542701 | 1.018170 | Physician/Surgeon | 1976-08-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 140 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony J Cusano | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard C Holden | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sandeep Tiyyagura | 140 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Renda Md | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Victoriano Baldovi Md | 140 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Victorian Baldovi Jr | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2006-08-01 ~ 2007-09-30 |
| France Bourget | 140 Grandview Ave, Waterbury, CT 067081 | Physician/surgeon | 1998-09-30 ~ 1999-09-30 |
| Linda Daly-o'neill Md | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 1997-04-01 ~ 1998-04-30 |
| Michael J Traurig | 140 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 1994-10-14 ~ 1996-11-01 |
| Richard J Newman | 140 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 1988-11-23 ~ 1989-10-17 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sol J Cohen | 39 So High St, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 1995-07-07 ~ 1996-02-28 |
| Shepard N Cohen Dds | 707 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1999-03-05 ~ 2000-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Ira Cohen Md | 22 Tannery Ln N, Weston, CT 06882-1814 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| C M Cohen | 495 South Rd, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mark S Cohen Dds | 940 Federal Rd, Brookfield, CT 06804-1150 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Martin B Cohen Md | 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Keith R Cohen | 649 Willard Ave, Newington, CT 06111-2615 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Neil S Cohen | 34 Shelburne Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Adam Cohen | 1481 5th Ave Apt 9a, New York, NY 10035-2769 | Controlled Substance Registration for Practitioner | 2015-07-16 ~ 2017-02-28 |
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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).