ROBERT B COOPER (Credential# 543300) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
ROBERT B COOPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020178. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 102 Kellogg Street, Brookfield, CT 06804. The current status is active.
Licensee Name | ROBERT B COOPER |
Credential ID | 543300 |
Credential Number | 1.020178 |
Credential Type | Physician/Surgeon |
Business Address |
102 Kellogg Street Brookfield CT 06804 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1978-05-15 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-08-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148332 | CSP.0005080 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 102 Kellogg Street |
City | Brookfield |
State | CT |
Zip Code | 06804 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06804 |
City | Brookfield |
Zip Code | 06804 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Brookfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Joseph Cooper | 20 Cherry Ln, Longmeadow, MA 01106-1608 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Raphael M Cooper | 12 Great Oak Ln, Unionville, CT 06085-1544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael J O'leary | 2 Cooper Dr, Ossining, NY 10562 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kieran A Cooper | 93 Wintonbury Ave, Bloomfield, CT 06002 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Chi Tang | 41 Cooper Place, New Haven, CT 06515 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Marcy Cooper | 48 Kent St #3, Brookline, MA 02146 | Physician/surgeon | 1993-11-10 ~ 1994-11-30 |
H John Cooper | 622 W 168th St Ph 11-1130, New York, NY 10032-3720 | Physician/surgeon | ~ |
Carol L Cooper Md | 17 North Ave, Norwalk, CT 06851-3837 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
Shontreal Monique Cooper | 30 Liberty Sq Apt 396, Bloomfield, CT 06002-3497 | Physician/surgeon | 2019-06-03 ~ 2020-06-30 |
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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).