MAUREEN ROSE CLARK (Credential# 2005702) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MAUREEN ROSE CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073128. The credential type is controlled substance registration for practitioner. The effective date is February 5, 2020. The expiration date is February 28, 2021. The business address is 225 Frontier Dr, Erie, PA 16505-2505. The current status is active.
| Licensee Name | MAUREEN ROSE CLARK |
| Credential ID | 2005702 |
| Credential Number | CSP.0073128 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
225 Frontier Dr Erie PA 16505-2505 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-05 |
| Effective Date | 2020-02-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1995416 | 23.004722 | Physician Assistant | 2020-01-23 | 2020-01-23 - 2020-10-31 | ACTIVE |
| Street Address | 225 FRONTIER DR |
| City | ERIE |
| State | PA |
| Zip Code | 16505-2505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kellie Schmitt | 5171 Wolf Run Dr, Erie, PA 16505 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
| Philip Joseph Razanauskas | 2508 N Tracy Drive, Erie, PA 16505 | Registered Nurse - Temporary | 2017-12-20 ~ 2018-04-18 |
| Michael D Grout | 1313 Hilborn Ave., Erie, PA 16505 | Crane Operator | 2009-09-21 ~ 2011-09-20 |
| Preferred Systems Inc | 1341 West St, Erie, PA 16505 | Real Estate Continuing Education Provider | 2017-07-31 ~ |
| Donald E Macpherson · Lord Corp | 422 Madison Ave, Erie, PA 16505 | Professional Engineer | 1991-02-06 ~ 1992-01-31 |
| Heng-pooi Lim | 6323 Meadowrue Lane, Erie, PA 16505 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Leslaw M Strazek | 1937 S Shore Dr, Erie, PA 16505 | Physician/surgeon | 1992-06-25 ~ 1993-02-28 |
| Peter T Jordano | 624 Powell Ave., Erie, PA 16505 | Dentist | 1998-06-24 ~ 1999-06-30 |
| Carol D Susann | 720 Ridgeview Dr, Erie, PA 16505 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Josephine Mraz | 4950 Tramarlac Lane, Erie, PA 16505 | Registered Nurse | 1998-10-30 ~ 1999-10-31 |
| Find all Licenses in zip 16505 | |||
| City | ERIE |
| Zip Code | 16505 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ERIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen Pawlak Pa | 25 Bryan Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen K Leach | 194 Howard Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen Dana Md | 7 Chipeway Rd, Middlefield, CT 06455-1300 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen Mcglennon | 86 Park St, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen C Burke | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Maureen Mccarthy | 100 Retreat Ave Ste 903, Hartford, CT 06106-2553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen Morris Pa | 22 Swing Lane, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen Licursi Aprn | 949 Palmer Rd, Bronxville, NY 10708-3540 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen E Carney | 18 Deer Meadow, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maureen E Halpin Dpm | 382 Buena Vista Rd, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on MAUREEN ROSE 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).