GENA M COBRIN MD (Credential# 560987) 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.
GENA M COBRIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043405. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 425 Post Road, Fairfield, CT 06824. The current status is active.
Licensee Name | GENA M COBRIN MD |
Credential ID | 560987 |
Credential Number | 1.043405 |
Credential Type | Physician/Surgeon |
Business Address |
425 Post Road Fairfield CT 06824 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-05-10 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
403454 | CSP.0037392 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-06-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
1404244 | CSP.0064841 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2017-02-28 - 2019-02-28 | LAPSED |
Street Address | 425 POST ROAD |
City | FAIRFIELD |
State | CT |
Zip Code | 06824 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward A Duda | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sandhya Dhanjal | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Strick J Woods Md | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jeffrey N Berman Md · Saint Vincents Hospital | 425 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Emil J Blanco | 425 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Milton Cooper | 425 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Kenneth A Dressler | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
Find all Licenses in zip 06824 |
City | FAIRFIELD |
Zip Code | 06824 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gena E Taylor Md | 632 Quinnipiac Ave, New Haven, CT 06513 | Physician/surgeon | 1997-03-03 ~ 1998-02-28 |
Gena W Grey | 50 Overland Dr, Stratford, CT 06614-2216 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Gena M Forte | 4 Shirley Court, Plainville, CT 06062 | Paramedic | 2003-05-20 ~ 2004-06-30 |
Gena M Liuzzi | 15 Timothy Dr, North Haven, CT 06473-3530 | Radiographer | 2020-05-01 ~ 2021-04-30 |
Gena Fuller | 35 Voight Ave, Bridgeport, CT 06606-1537 | Athletic Trainer | 2020-06-01 ~ 2021-05-31 |
Gena Didonato | 5 Beacon Ln, Rye Brook, NY 10573-1940 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
Gena M Miller | P.o. Box 94, East Berlin, PA 17316 | Physical Therapist Assistant | 2002-03-22 ~ 2006-11-01 |
Gena M Sciaraffa | 5 Glennwood Dr, Plainville, CT 06062 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Gena M Murray | 201 Pond Meadow Rd., Killingworth, CT 06419 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Gena M Christie | 86 South Rd, Enfield, CT 06082 | Real Estate Salesperson | ~ |
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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).