CRISTIANA O CLARK (Credential# 1520454) 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.
CRISTIANA O CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068566. 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 825 Orange St Fl 2, New Haven, CT 06511-2507. The current status is active.
| Licensee Name | CRISTIANA O CLARK |
| Credential ID | 1520454 |
| Credential Number | CSP.0068566 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
825 Orange St Fl 2 New Haven CT 06511-2507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1525119 | 12.007643 | Advanced Practice Registered Nurse | 2018-06-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1148905 | 10.121533 | Registered Nurse | 2014-08-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1149696 | 10.110115-TEMP | Registered Nurse - Temporary | 2013-02-15 | 2013-02-15 - 2013-06-15 | INACTIVE |
| Street Address | 825 ORANGE ST FL 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Channon Conner | 801 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Isabel Hirsch | 821 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lauren Mary Bonham | 801 Orange St Apt 2b, New Haven, CT 06511-2507 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Nancy M Wagner | 813 Orange St Apt 3, New Haven, CT 06511-2507 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Marie N Schwartz | 811 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Ian M Dunn | 801 Orange St # 1, New Haven, CT 06511-2507 | Electrical Unlimited Journeyperson | 2012-11-18 ~ 2013-09-30 |
| Katharine Wick | 801 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Iva L Esparza | 821 Orange St, New Haven, CT 06511-2507 | Registered Nurse | 2019-10-01 ~ 2020-10-31 |
| Jacqueline N Brysacz | 821 Orange St, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cristiana Golu Md | 55 Stevens Lane, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Husham Sharifi | 63 Clark St, New Haven, CT 06511-3801 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Charlotte Clark | 9 Paradise Rd, Bronxville, NY 10708-2205 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Mark Clark | 996 E Main St, Torrington, CT 06790-3909 | Controlled Substance Registration for Practitioner | 2020-04-19 ~ 2021-02-28 |
| Randal Zhou | 84 Clark St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 2021-02-28 |
| Bennett Clark | 600 N. Wolfe St, Baltimore, MD 21287 | Controlled Substance Registration for Practitioner | 2015-07-30 ~ 2017-02-28 |
| Jerry A Ferrentino | 140 Clark St, Milford, CT 06460-8427 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Degen Md | 2 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lindsay E. Clark | 60 Hawley Ave Apt 12, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mitchell B Clark | 800 Summer St, Stamford, CT 06901-1023 | Controlled Substance Registration for Practitioner | 2017-02-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on CRISTIANA O 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).