DENISE CLARK (Credential# 1788590) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
DENISE CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064654. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1 North Ln, Albany, NY 12211-1629. The current status is active.
| Licensee Name | DENISE CLARK |
| Credential ID | 1788590 |
| Credential Number | 1.064654 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 North Ln Albany NY 12211-1629 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-09 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1991031 | CSP.0072893 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-12-12 | 2019-12-12 - 2021-02-28 | ACTIVE |
| Street Address | 1 NORTH LN |
| City | ALBANY |
| State | NY |
| Zip Code | 12211-1629 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul A Stockert | 23 Cherry Tree Rd, Loudonville, NY 12211 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter Gillies | 20 Corporate Woods Blvd, Albany, NY 12211 | Architect | 2020-08-01 ~ 2021-07-31 |
| Matthew Debole | 27 Cherry Tree Road, Loudonville, NY 12211 | Physical Therapist | 2020-06-08 ~ 2020-09-30 |
| Douglas V Daniels | 8 Bethwood Drive, Londonville, NY 12211 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Augustin J Delago | Capital Cardiology Associates, Albany, NY 12211 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark W Olstad | 8 Campus View Dr, Loudonville, NY 12211 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Igal Zuravicky | 7 Southwoods Blvd., Albany, NY 12211 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kathleen M Roche | 120 Old Niskayuna Road, Loudonville, NY 12211 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kelly K Heffernan | 20 Cherry Tree Rd, Latham, NY 12211 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Marc L Leder · Paragon Remodelers Inc (s) | 31 Collegeview Dr, Loudonville, NY 12211 | Home Improvement Salesperson | ~ 1992-03-01 |
| Find all Licenses in zip 12211 | |||
| City | ALBANY |
| Zip Code | 12211 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ALBANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy Ditelberg | 114 Denise Ter, Fairfield, CT 06824-3406 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Denise Barajas | 10 Brook Rd, Woodbridge, CT 06525-1925 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Denise M Kearney | 234 Elm St Floor 1, Northampton, MA 01060-1700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Denise G Mauler | Herrick Rd, Sharon, CT 06069 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Denise Pittaro Md | 143 Thurton Dr, New Canaan, CT 06840 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Denise Tonzola | 58 Indigo Trail, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Denise S Beauharnais | 197 Elmwood Avenue, Hemstead, NY 11550 | Physician/surgeon | 1996-01-09 ~ 1996-10-31 |
| Denise Angers Md | 312 Peddlers Road, Guilford, CT 06437 | Physician/surgeon | 2003-09-16 ~ 2004-08-31 |
| Richard C Denise | 621a Arden Ave, Staten Island, NY 10312-3032 | Physician/surgeon | ~ |
| R S Briggs Md | 138 Clark Rd, Litchfield, CT 06759 | Physician/surgeon | 2006-12-21 ~ 2007-12-31 |
Please comment or provide details below to improve the information on DENISE 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).