ANTHONY J COPPOLA MD (Credential# 154879) 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.
ANTHONY J COPPOLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012655. 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 54 Blue Hills Drive, Guilford, CT 06437. The current status is active.
| Licensee Name | ANTHONY J COPPOLA MD |
| Credential ID | 154879 |
| Credential Number | CSP.0012655 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
54 Blue Hills Drive Guilford CT 06437 |
| 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 | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545308 | 1.025067 | Physician/Surgeon | 1984-02-16 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 54 BLUE HILLS DRIVE |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen T Coppola | 1692 E Main St, Torrington, CT 06790-3519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul J Coppola Md | 48 Webster Point Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher P Coppola Md | 19423 Camino Ridge, San Antonio, TX 78258 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan White Aprn | 17 Coppola Terrace, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| M Anthony Coppola LLC | 65 Todds Hill Rd, Branford, CT 06405-6028 | Home Improvement Contractor | 2008-03-18 ~ 2008-11-30 |
| Anthony Coppola | 316 Dolphin Ln, West Babylon, NY 11704 | Professional Engineer | 1800-12-27 ~ 1991-01-31 |
| Anthony C. Giannuzzi | 39 Mimosa Dr, Cos Cob, CT 06807-1402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony J Onofreo | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony Ndu | 167 Wooster St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2010-12-07 ~ 2013-02-28 |
| Anthony V Scialla | 219 Hume Dr, Hamden, CT 06514-1635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).