THERESA E COHEN
Physician Assistant


Address: 255 Beach St, West Haven, CT 06516-6108

THERESA E COHEN (Credential# 743413) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

THERESA E COHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001664. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 255 Beach St, West Haven, CT 06516-6108. The current status is active.

Basic Information

Licensee Name THERESA E COHEN
Credential ID 743413
Credential Number 23.001664
Credential Type Physician Assistant
Business Address 255 Beach St
West Haven
CT 06516-6108
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-08-04
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
419130 CSP.0038454 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-10-17 2019-03-01 - 2021-02-28 ACTIVE
483346 CSP.0042643 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-26 2007-09-26 - 2008-02-29 INACTIVE

Office Location

Street Address 255 BEACH ST
City WEST HAVEN
State CT
Zip Code 06516-6108

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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
Lourdes Maribel Guzman 26 York Street, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Mcdonald's · Tay Mac Dba 1129 Campbell Ave, West Haven, CT 06516 Bakery 2020-07-01 ~ 2021-06-30
Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HAVEN
Zip Code 06516
License Type Physician Assistant
License Type + County Physician Assistant + WEST HAVEN

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Dataset Information

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).

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