DEBRA E KOSS (Credential# 164314) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 17, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.
DEBRA E KOSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022274. The credential type is controlled substance registration for practitioner. The effective date is November 17, 1995. The expiration date is February 28, 1997. The business address is 32a Everton Ave, Worcester, MA 01604. The current status is inactive.
| Licensee Name | DEBRA E KOSS |
| Credential ID | 164314 |
| Credential Number | CSP.0022274 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
32a Everton Ave Worcester MA 01604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1995-11-17 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2005-12-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551422 | 1.033823 | Physician/Surgeon | 1994-06-24 | 1995-11-16 - 1997-01-31 | INACTIVE |
| Street Address | 32A EVERTON AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
| James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
| Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
| Worcester Pharmacy LLC · Boulevard Pharmeceutical Compounding | 149 Shrewsbury St, Worcester, MA 01604 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 01604 | |||
| City | WORCESTER |
| Zip Code | 01604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Weisman · Newtown Veterinary Specialists | 52 Church Hill Rd, Newtown, CT 06470-1622 | Controlled Substance Registration for Practitioner | 2015-12-07 ~ 2017-02-28 |
| Debra L Furtado | 20 Lee Dr, Pawcatuck, CT 06379-2540 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
| Debra K Daren | Po Box 632, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra J Anderson | 915 River Rd, Middletown, CT 06457-3921 | Controlled Substance Registration for Practitioner | ~ |
| Debra L Brand Md | Po Box 9212, Jackson, WY 83002-9212 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Debra S Weissman | 148 East Ave Ste 3b, Norwalk, CT 06851-5726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra M Sceppa | 259 Argyle Rd, Orange, CT 06477-2915 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra H Schussheim Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra N Yeboa | 65 Dwight St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Debra R Miller | 53 Granite St # D, New London, CT 06320-5945 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DEBRA E KOSS.
| 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).