MEREDITH K CLARK (Credential# 1249321) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MEREDITH K CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058847. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 137 West Rd, Collinsville, CT 06019-3742. The current status is active.
| Licensee Name | MEREDITH K CLARK |
| Credential ID | 1249321 |
| Credential Number | CSP.0058847 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
137 West Rd Collinsville CT 06019-3742 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1234567 | 3.002931 | Optometrist | 2014-10-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 137 WEST RD |
| City | COLLINSVILLE |
| State | CT |
| Zip Code | 06019-3742 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Owen's Building LLC | 121 West Rd, Collinsville, CT 06019-3742 | Home Improvement Contractor | 2013-01-08 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | COLLINSVILLE |
| Zip Code | 06019 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLLINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meredith P Re Dvm | 18 Raymond Hts, Darien, CT 06820-4920 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith A Brown | 207 W Park Ave, New Haven, CT 06511-2945 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
| Meredith H Blodget Pa | 129 York St Apt #5-j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Meredith L Ward | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Meredith W Barrows | 1 Eastview Dr, Simsbury, CT 06070-3009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith Tucker Md | Po Box 3161, Redmond, WA 98073-3161 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Meredith A Mckenna | 95 S Ridge Ln # G-201, Berlin, CT 06037-5005 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
| Meredith G Haley | 24 Fairview St, Hingham, MA 02043-4722 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith L Young | 78 Wildcat Rd, Madison, CT 06443-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith Goff Cnm | 869 Orange St Apt 10w, New Haven, CT 06511-2563 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MEREDITH K CLARK.
| 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).