GARY M COHEN (Credential# 541174) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
GARY M COHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014594. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 75 Santa Fe Ave, Hamden, CT 06517-1421. The current status is active.
| Licensee Name | GARY M COHEN |
| Credential ID | 541174 |
| Credential Number | 1.014594 |
| Credential Type | Physician/Surgeon |
| Business Address |
75 Santa Fe Ave Hamden CT 06517-1421 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1970-08-19 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147403 | CSP.0004878 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 75 SANTA FE AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-1421 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura C Davidson | 53 Santa Fe Ave, Hamden, CT 06517-1421 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Jon-patrick Sarris | 61 Santa Fe Ave, Hamden, CT 06517-1421 | Emergency Medical Technician | 2011-02-25 ~ 2013-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheryl Cohen | 37 Stauber Dr, Plainview, NY 11803-4844 | Physician/surgeon | ~ |
| Wendy E Cohen | Po Box 588, Englewood, NJ 07631 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Steven Cohen | 20 Canvin St., Kirkland, QC H4H 4S4 | Physician/surgeon | ~ |
| Ziv E Cohen | 200 W 57th St Ste 304, New York, NY 10019-3262 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kenneth L Cohen | 9 Bishop Dr, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Evan P Cohen | 215 E 24th St Apt 110, New York, NY 10010-3808 | Physician/surgeon | 2011-07-27 ~ 2012-07-31 |
| Joel L Cohen | 675 Tower Ave, Hartford, CT 06112 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
| Gerald A Cohen | 200 S Broadway, Tarrytown, NY 10591 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Lawrence S Cohen Md | 633 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victor Cohen Md | 24 Wondy Way, Danbury, CT 06811 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on GARY M COHEN.
| 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).