KEVIN CLARK (Credential# 2014773) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 5, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEVIN CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073322. The credential type is controlled substance registration for practitioner. The effective date is March 5, 2020. The expiration date is February 28, 2021. The business address is 1722 Highcroft Pl, Weatogue, CT 06089-7923. The current status is active.
| Licensee Name | KEVIN CLARK |
| Credential ID | 2014773 |
| Credential Number | CSP.0073322 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1722 Highcroft Pl Weatogue CT 06089-7923 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-05 |
| Effective Date | 2020-03-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2006762 | 1.064978 | Physician/Surgeon | 2020-03-04 | 2020-03-04 - 2021-01-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Clark | 25 West State St, Granby, MA 01033 | Repairer of Weighing & Measuring Devices | 2019-01-01 ~ 2019-12-31 |
| Kevin Clark | 430 W Zoo N, Danville, IN 46122 | Fire Protection Unlimited Journeyperson | ~ |
| Kevin Clark · Clark Painting & Wallpapering | 42 Irving St, Bristol, CT 06010 | Home Improvement Contractor | ~ 1995-08-01 |
| Kevin Clark | 44 Republic Dr, Bloomfield, CT 06002-5458 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Street Address | 1722 HIGHCROFT PL |
| City | WEATOGUE |
| State | CT |
| Zip Code | 06089-7923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nina Mae Cervantes | 1716 Highcroft Pl, Weatogue, CT 06089-7923 | Registered Nurse | 2020-04-09 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | WEATOGUE |
| Zip Code | 06089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEATOGUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gustav W Anderson Md | 30 Clark Dr, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1993-05-26 ~ 1995-06-01 |
| Mitchell B Clark | 800 Summer St, Stamford, CT 06901-1023 | Controlled Substance Registration for Practitioner | 2017-02-01 ~ 2019-02-28 |
| Natalie Tumeniuk | 21 W Clark St, Milford, CT 06460-2517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth A Freck | 62 Clark St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Lindsay E. Clark | 60 Hawley Ave Apt 12, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Meredith K Clark | 137 West Rd, Collinsville, CT 06019-3742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Clark | 996 E Main St, Torrington, CT 06790-3909 | Controlled Substance Registration for Practitioner | 2020-04-19 ~ 2021-02-28 |
| Bennett Clark | 600 N. Wolfe St, Baltimore, MD 21287 | Controlled Substance Registration for Practitioner | 2015-07-30 ~ 2017-02-28 |
| Margaret Mccarthy Dvm | 186 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Please comment or provide details below to improve the information on KEVIN 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).