CHRISTOPHER J KOPIN PA-C (Credential# 743494) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTOPHER J KOPIN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001745. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 31 Jarvis Rd, Old Saybrook, CT 06475-2909. The current status is active.
| Licensee Name | CHRISTOPHER J KOPIN PA-C |
| Credential ID | 743494 |
| Credential Number | 23.001745 |
| Credential Type | Physician Assistant |
| Business Address |
31 Jarvis Rd Old Saybrook CT 06475-2909 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-12-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 433078 | CSP.0038967 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 870235 | 70.961221 | Emergency Medical Technician | 1996-05-01 | 2002-06-18 - 2005-06-30 | INACTIVE |
| Street Address | 31 JARVIS RD |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-2909 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane L Kopin | 31 Jarvis Rd, Old Saybrook, CT 06475 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia Marie Kopin | 31 Jarvis Road, Old Saybrook, CT 06475 | Physician Assistant | 2019-12-09 ~ 2020-11-30 |
| Christopher J Edelstein | 4 Cornell Rd, Shoreham, NY 11786 | Physician Assistant | ~ |
| Christopher Ortiz | 339 Massachusetts Ave, Arlington, MA 02474 | Physician Assistant | ~ |
| Christopher S Brooks | 118 Smith St., Gardner, MA 01440 | Physician Assistant | 2008-03-17 ~ 2009-05-31 |
| Christopher J Kondor | 450 Greenfield Ave, Stratford, CT 06497 | Physician Assistant | 2000-02-23 ~ 2001-03-31 |
| Christopher Prezzano | 94 Cayuga Rd, Putnam Valley, NY 10579-2106 | Physician Assistant | ~ |
| Christopher Moorman | 348 Whetstone, Jackson, MO 63755 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Christopher Favulli | 585 Arrowhead Dr, Orange, CT 06477-2306 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Christopher D Sands | 771 Post Rd, Wakefield, RI 02879 | Physician Assistant | 2019-11-15 ~ 2020-09-30 |
| Christopher M Bonci | 6 Fordham Ave., Feeding Hills, MA 01030 | Physician Assistant | ~ |
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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).