JASON T KOO MD (Credential# 275057) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 24, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
JASON T KOO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030789. The credential type is controlled substance registration for practitioner. The effective date is April 24, 2001. The expiration date is February 28, 2002. The business address is 238 Breakers Lane, Stratford, CT 06615. The current status is inactive.
| Licensee Name | JASON T KOO MD |
| Credential ID | 275057 |
| Credential Number | CSP.0030789 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
238 Breakers Lane Stratford CT 06615 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2001-04-24 |
| Expiration Date | 2002-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551803 | 1.034204 | Physician/Surgeon | 1994-12-16 | 2001-03-30 - 2001-09-30 | INACTIVE |
| Street Address | 238 BREAKERS LANE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason M Hammond | 1 3rd Ave, Mineola, NY 11501 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jason D Andrus Pa | 177 Northford Rd, Branford, CT 06405-2823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason D Salter Do | 52 Modena Ave, Providence, RI 02908-2015 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jason Hillman Do | 309 E Morehead St Apt 817, Charlotte, NC 28202-2323 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jason Richard | 635 Main St, Middletown, CT 06457-2718 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jason M Andreas | 35 Oconnor Ave Apt 1r, Holyoke, MA 01040-3390 | Controlled Substance Registration for Practitioner | 2017-05-30 ~ 2019-02-28 |
| Jason H Ramsdell Pa-c | 35 Russell St #25, Griswold, CT 06351 | Controlled Substance Registration for Practitioner | 2009-03-10 ~ 2011-02-28 |
| Jason T Pelletier Pa | 922 Arboretum Way, Burlington, MA 01803-3835 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jason A Lachance Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).