DAVID COFFMAN DO (Credential# 558306) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 23, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
DAVID COFFMAN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040723-DO. The credential type is physician/surgeon. The effective date is July 23, 2003. The expiration date is April 30, 2004. The business address is 62 Mansfield Grove Rd, East Haven, CT 06512. The current status is inactive.
| Licensee Name | DAVID COFFMAN DO |
| Credential ID | 558306 |
| Credential Number | 1.040723-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
62 Mansfield Grove Rd East Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-08-01 |
| Effective Date | 2003-07-23 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 313340 | CSP.0032475 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 62 MANSFIELD GROVE RD |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Minervini | 62 Mansfield Grove Rd, East Haven, CT 06512 | Public Service Technician - Gas | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coffman Engineers Inc | 1101 2nd Ave, Ste 400, Seattle, WA 98101 | Professional Engineering Corporation | 2019-11-30 ~ 2020-11-29 |
| David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David D Giardina | 10 Little Fox La, Westport, CT 06880 | Physician/surgeon | 2004-07-06 ~ 2005-07-31 |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David J Rea | 5699 N Centerpark Way Apt 502, Glendale, WI 53217-4571 | Physician/surgeon | ~ |
| David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on DAVID COFFMAN DO.
| 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).