MIRIAM S COHEN MD (Credential# 558173) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MIRIAM S COHEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040590. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 333 Christian Street, Wallingford, CT 06492. The current status is active.
Licensee Name | MIRIAM S COHEN MD |
Credential ID | 558173 |
Credential Number | 1.040590 |
Credential Type | Physician/Surgeon |
Business Address |
333 Christian Street Wallingford CT 06492 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-06-26 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
315547 | CSP.0032331 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-07-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 333 Christian Street |
City | WALLINGFORD |
State | CT |
Zip Code | 06492 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark B Benson | 333 Christian Street, Wallingford, CT 06492 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Emily R Osterhout | 333 Christian Street, Wallingford, CT 06492 | Athletic Trainer | 2019-12-01 ~ 2020-11-30 |
Matthew B Pendleton | 333 Christian Street, Wallingford, CT 06492 | Athletic Trainer | 2019-11-01 ~ 2020-10-31 |
Marcelle M Demarco | 333 Christian Street, Wallingford, CT 06492 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
Tennis Leadership Camps | 333 Christian Street, Wallingford, CT | Youth Camp | 2004-08-02 ~ 2005-08-01 |
George A Lustenader | 333 Christian Street, Wallingford, CT 06492 | Real Estate Salesperson | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | WALLINGFORD |
Zip Code | 06492 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WALLINGFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Miriam U Schoepf | Im Mittelbusch 9, Berlin, 14129 | Physician/surgeon | 2002-01-25 ~ 2003-03-31 |
Miriam Ambalu | 31 Disbrow Cir, New Rochelle, NY 10804-2503 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Miriam F Seelig | 96 Rockwood Lane, Greenwich, CT 06830 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Miriam J Gamble | 719 Mount Vernon St Apt 7, Orlando, FL 32803-5349 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Miriam H Chung | 39 Willard Street, New Haven, CT 06515 | Physician/surgeon | 2003-02-14 ~ 2004-01-31 |
Miriam B Schechter | 2437 Bedford St, Stamford, CT 06905 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
Okwuchi Miriam Ogbonna | 12 Spindle Hill Rd Apt 7d, Wolcott, CT 06716-1743 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Miriam M Cohen | 181 Washington St, Norwich, CT 06360 | Dental Hygienist | 1993-05-25 ~ 1994-07-31 |
Steven Cohen | 20 Canvin St., Kirkland, QC H4H 4S4 | Physician/surgeon | ~ |
Wendy E Cohen | Po Box 588, Englewood, NJ 07631 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
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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).