CARL L CLARKE (Credential# 1278887) is licensed (Physician Assistant) 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.
CARL L CLARKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003408. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3212 B'way 2nd Place, Astoria, NY 11106. The current status is active.
Licensee Name | CARL L CLARKE |
Credential ID | 1278887 |
Credential Number | 23.003408 |
Credential Type | Physician Assistant |
Business Address |
3212 B'way 2nd Place Astoria NY 11106 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-08-12 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-06-02 |
Street Address | 3212 B'WAY 2ND PLACE |
City | ASTORIA |
State | NY |
Zip Code | 11106 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dolores Gomes | 32-81 35th Street, Astoria, NY 11106 | Dental Hygienist | 2018-12-01 ~ 2019-11-30 |
Peter A Foster | 1444 31 Drive, Astoria, NY 11106 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Areti Serkizis | 32-14 31st Ave, Astoria, NY 11106 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
R La Faye Roberts | 25-21 31st Avenue D35, Astoria, NY 11106 | Notary Public Appointment | 1999-05-03 ~ 2004-05-31 |
Dimitrios Koutsoukos | 35-34 31st St, Lic, NY 11106 | New Home Construction Contractor | 2013-10-01 ~ 2015-09-30 |
Caitlyn Mcnamara Mcniff | 3162 29th St, Astoria, NY 11106 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
Jennifer R Ward | 3552 32nd St Apt 3, Astoria, NY 11106 | Youth Camp Director | 2019-06-06 ~ |
Stephen Moran | 3210 33rd St., Astoria, NY 11106 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Drini Kroni | 3174 29st, Astoria, NY 11106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Magellan Rx Pharmacy | 3175 23rd Street, Astoria, NY 11106 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
Find all Licenses in zip 11106 |
City | ASTORIA |
Zip Code | 11106 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + ASTORIA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debbie A Clarke | 122 Cottage Ave, Mount Vernon, NY 10550-1404 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Brian H. Clarke | 20 Outlook Avenue, West Hartford, CT 06119 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Carl L Michael | 25 Lefferts Ave., Brooklyn, NY 11225 | Physician Assistant | 2000-06-15 ~ 2000-11-30 |
Joseph Carl Vanderhyde | 85 Retreat Ave, Hartford, CT 06106-2555 | Physician Assistant | ~ |
Wes Clarke · Wes Clarke Masonry | 85 South Loomis St, Southwick, MA 01077 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Lindsay Clarke · Clarke Enterprises | P O Box 1115, Hartford, CT 06143 | Home Improvement Contractor | 2010-01-29 ~ 2010-11-30 |
Donna L Clarke | 72 Birchwood Rd, Windsor, CT 06095-1001 | Occupational Therapist Assistant | 1999-07-28 ~ 2001-07-31 |
Clarke Road | 92 Clarke Road, Lebanon, CT 06249 | Community Living Arrangement | 2019-06-01 ~ 2021-05-31 |
James Clarke · Clarke Painting & Decorating | 593 King St, Stratford, CT 06497 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).