JOHN L CLARK MD (Credential# 147389) 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.
JOHN L CLARK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007839. 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 61 Pond Place, Cos Cob, CT 06807. The current status is active.
| Licensee Name | JOHN L CLARK MD |
| Credential ID | 147389 |
| Credential Number | CSP.0007839 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61 Pond Place Cos Cob CT 06807 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542668 | 1.018090 | Physician/Surgeon | 1976-07-02 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 61 POND PLACE |
| City | COS COB |
| State | CT |
| Zip Code | 06807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John D Clark Md | 25 Knob Hill Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| John H Clark Aprn | 5049 Avocet Ln, Pensacola, FL 32514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| John R Mcardle Md | 74 Clark Hill Rd, South Glastonbury, CT 06073-3502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey M Matheny Md | 220 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Meredith K Clark | 137 West Rd, Collinsville, CT 06019-3742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bennett Clark | 600 N. Wolfe St, Baltimore, MD 21287 | Controlled Substance Registration for Practitioner | 2015-07-30 ~ 2017-02-28 |
| Charlotte Clark | 9 Paradise Rd, Bronxville, NY 10708-2205 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Husham Sharifi | 63 Clark St, New Haven, CT 06511-3801 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joyce Clark Dvm | 765 South End Rd, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Cristiana O Clark | 825 Orange St Fl 2, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).