NICHOLAS R KLOCK
Controlled Substance Registration for Practitioner


Address: 303 Irving Dr, Wilmington, DE 19802-1215

NICHOLAS R KLOCK (Credential# 1365693) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 16, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

NICHOLAS R KLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063480. The credential type is controlled substance registration for practitioner. The effective date is April 16, 2020. The expiration date is February 28, 2021. The business address is 303 Irving Dr, Wilmington, DE 19802-1215. The current status is active.

Basic Information

Licensee Name NICHOLAS R KLOCK
Credential ID 1365693
Credential Number CSP.0063480
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 303 Irving Dr
Wilmington
DE 19802-1215
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-15
Effective Date 2020-04-16
Expiration Date 2021-02-28
Refresh Date 2020-04-17

Other licenses

ID Credential Code Credential Type Issue Term Status
1363879 23.003628 Physician Assistant 2016-07-14 2020-04-15 - 2020-10-31 ACTIVE
926149 70.012127 Emergency Medical Technician 2010-05-13 2013-11-20 - 2016-06-30 INACTIVE

Office Location

Street Address 303 IRVING DR
City WILMINGTON
State DE
Zip Code 19802-1215

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Danielle Miano 303 Irving Dr, Wilmington, DE 19802-1215 Controlled Substance Registration for Practitioner 2020-04-17 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Bijan Pashanamaei 2704 Baynard Blvd, Wilmington, DE 19802 Professional Engineer 1996-02-01 ~ 1997-01-31
Christine L Kuckes 2916 Monroe St, Wilmington, DE 19802 Hairdresser/cosmetician 1994-09-14 ~ 1995-11-30
Clara T Hollis 900 Concord Ave, Wilmington, DE 19802 Registered Nurse 1994-07-25 ~ 1995-08-31
Helen L Hanlon · Phillips 805 West 21st Street, Wilmington, DE 19802 Registered Nurse ~ 1999-06-30
John E Gasby 114 W 37th St, Wilmington, DE 19802-2713 Asbestos Abatement Supervisor 2018-11-27 ~ 2019-06-30
Rashaon T Deburnure 415 E 35th St, Wilmington, DE 19802-2815 Asbestos Abatement Worker 2018-06-28 ~ 2018-10-31
Michelle L Kayser 3016 N Harrison St, Wilmington, DE 19802-2936 Physician/surgeon ~
Leon B Gardner 2915 N Madison St, Wilmington, DE 19802-3073 Asbestos Abatement Worker 2018-08-21 ~ 2019-01-31
Arnetta Black 303 W 26th St, Wilmington, DE 19802-3547 Pharmacy Technician 2020-02-06 ~ 2021-03-31
Jay N Cooperson 803 W 20th St, Wilmington, DE 19802-3814 Architect 2019-08-01 ~ 2020-07-31
Find all Licenses in zip 19802

Competitor

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City WILMINGTON
Zip Code 19802
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILMINGTON

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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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