CLINTON D PROTACK (Credential# 1082140) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
CLINTON D PROTACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051214. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 24173 Duffield Rd, Shaker Heights, OH 44122-3116. The current status is inactive.
| Licensee Name | CLINTON D PROTACK |
| Credential ID | 1082140 |
| Credential Number | 1.051214 |
| Credential Type | Physician/Surgeon |
| Business Address |
24173 Duffield Rd Shaker Heights OH 44122-3116 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-07-19 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 511361 | CSP.0044317 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-18 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 24173 DUFFIELD RD |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44122-3116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald A Kluchin | 23215 Commerce Park Road, Suite 316, Beachwood, OH 44122 | Architect | 2020-08-01 ~ 2021-07-31 |
| William Dorsky | 23240 Chagrin Blvd Ste 300, Cleveland, OH 44122 | Architect | 2018-08-01 ~ 2019-07-31 |
| Daniel M Cutler | 23457 Beachwood Blvd, Beachwood, OH 44122 | Registered Nurse | 2020-05-13 ~ 2021-04-30 |
| Irene Victoria Perez Young | 3700 Park East Dr Ste 400, Beachwood, OH 44122 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Align Capital Partners Fund II, Lp | 3401 Tuttle Road, Beachwood, OH 44122 | Securities - Exemptions | 2020-02-28 ~ |
| Melanie Lauren Coy | 3870 Waterford Ct, Beachwood, OH 44122 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Craig S Cohen | 23424 Commerce Park Rd, Beachwood, OH 44122 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ancora Trust | 2000 Auburn Drive, Cleveland, OH 44122 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Jean Winings | 21310 Halworth Road, Beachwood, OH 44122 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Tcm North Warner LLC | 3333 Richmond Road, Beachwood, OH 44122 | Securities - Exemptions | 2019-10-30 ~ |
| Find all Licenses in zip 44122 | |||
| City | SHAKER HEIGHTS |
| Zip Code | 44122 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHAKER HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vittoria Gassman | 11 Clinton Ave, Westport, CT 06880-1206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Yannick Y Grenier | 14 Sherman Pl, Clinton, NY 13323-1410 | Physician/surgeon | 2013-09-19 ~ 2014-09-30 |
| Jay L Glaser | 153 Clinton Road, Sterling, MA 01564 | Physician/surgeon | 2004-11-03 ~ 2005-10-31 |
| Allen P Schlein | 650 Clinton Ave, Bridgeport, CT 06605 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John J Harbut | 25 Clinton St, New Britain, CT 06053 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bruce Tang | 59 Old Post Rd, Clinton, CT 06413 | Physician/surgeon | 2001-01-16 ~ 2001-04-30 |
| Joseph R Perry | 19 Commerce St, Clinton, CT 06413 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Stephen A Torrey | 49 Groveway, Clinton, CT 06413 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Lowell S Hunter | 104 High St, Clinton, CT 06413 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Shanza Ihsan | 754 Clinton Ave, Bridgeport, CT 06604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on CLINTON D PROTACK.
| 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).