ROBERT KOENEKOOP (Credential# 560711) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 5, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.
ROBERT KOENEKOOP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043129. The credential type is physician/surgeon. The effective date is October 5, 2007. The expiration date is October 31, 2008. The business address is Westmount, QC H37 2W4. The current status is inactive.
Licensee Name | ROBERT KOENEKOOP |
Credential ID | 560711 |
Credential Number | 1.043129 |
Credential Type | Physician/Surgeon |
Business Address |
Westmount QC H37 2W4 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-03-03 |
Effective Date | 2007-10-05 |
Expiration Date | 2008-10-31 |
Refresh Date | 2018-12-27 |
City | WESTMOUNT |
State | QC |
Zip Code | H37 2W4 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sophie S Rivest | 66 Saint Surpice, Westmount, QC H3Y287 | Emergency Medical Responder | 2017-07-31 ~ 2020-04-01 |
Caroline Reinhold | 4064 Dorchester Blvd.=, Westmount, QC H3Z 1T9 | Physician/surgeon | 2011-10-01 ~ 2012-09-30 |
City | WESTMOUNT |
Zip Code | H37 2 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WESTMOUNT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
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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).