MARK WINSTON SMITH (Credential# 1798737) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARK WINSTON SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072594. The credential type is controlled substance registration for practitioner. The effective date is October 15, 2019. The expiration date is February 28, 2021. The business address is 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067. The current status is active.
| Licensee Name | MARK WINSTON SMITH |
| Credential ID | 1798737 |
| Credential Number | CSP.0072594 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Cityplace Dr Ste 570 Saint Louis MO 63141-7067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-15 |
| Effective Date | 2019-10-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1671275 | 1.064394 | Physician/Surgeon | 2019-10-07 | 2019-10-07 - 2020-08-31 | ACTIVE |
| Street Address | 1 CITYPLACE DR STE 570 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Lynne Reeder | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Vanessa Kitzis | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dee Walker Ford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Ellen Mcdonough | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Branham | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Brett Nathan Whaley | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timothy Michael Stock | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jason Nguyen | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kara Diane Skrodzki | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Analiza Salvador Petero | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eboni C January | 910 Morrison Ave, St Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Guy Elise Constant De Gent | One Cityplace Dr, Suite 570, Saint Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William P Mcmahon | 670 Mason Ridge Center Dr #220, St Louis, MO 63141 | Architect | 2020-08-01 ~ 2021-07-31 |
| Debra Kay Scudder | 12917 Gallagher Road, St. Louis, MO 63141 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Go Live Well | 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Michael Cummins Cpa PC | Three The Pines Court Ste E, St. Louis, MO 63141 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Michael Cummins Cpa | 3 The Pines Ct Ste E, St. Louis, MO 63141 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kali Marie Boland | 12750 Hezel Lane, Creve Coeur, MO 63141 | Physical Therapist | 2019-11-04 ~ 2020-10-31 |
| Romona Patrice Green | One Cityplace Drive, Saint Louis, MO 63141 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Isabelle Evelyn Condict | 711 Country Manor Lane, Creve Coeur, MO 63141 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Find all Licenses in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Winston Vuong | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-05-31 ~ 2021-02-28 |
| Winston H Reed Jr | Po Box Dc 30694, Long Island | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Sean O'rourke | 813 Miller St, Winston Salem, NC 27103-3616 | Controlled Substance Registration for Practitioner | 2020-04-27 ~ 2021-02-28 |
| Bryan C Patonay | 2160 Burks Meadour Rd, Winston, NC | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Denis V. Kapkov Md | 300 Winston Dr Apt 1004, Cliffside Park, NJ 07010-3216 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Deforest Jones | 389 Summergate Dr, Winston Salem, NC 27103-5534 | Controlled Substance Registration for Practitioner | 2020-03-23 ~ 2021-02-28 |
| Megumi Tomita Md | 2255 Aviar Glen Rd, Winston-salem, NC 27127 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Robert A Leonard Aprn | 1401 Thornhill Ln, Winston Salem, NC 27106-4770 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jonathan Winston | 263 Farmington Ave # Mc4037, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Winston A Campbell | 263 Farmington Ave Rm Cg214, Farmington, CT 06030-8084 | 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).