MEREDITH WESLEY CLARK (Credential# 2034892) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MEREDITH WESLEY CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065885. The credential type is physician/surgeon. The effective date is June 3, 2020. The expiration date is March 31, 2021. The business address is 52 Mimosa Cir, Ridgefield, CT 06877-2505. The current status is active.
| Licensee Name | MEREDITH WESLEY CLARK |
| Credential ID | 2034892 |
| Credential Number | 1.065885 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Mimosa Cir Ridgefield CT 06877-2505 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-03 |
| Effective Date | 2020-06-03 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2035665 | CSP.0073667 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-03 | 2020-06-03 - 2021-02-28 | ACTIVE |
| Street Address | 52 MIMOSA CIR |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-2505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meredith Halsey | 160 Cambridgepark Dr Apt 474, Cambridge, MA 02140-2472 | Physician/surgeon | ~ |
| Meredith M Renda Md | 79 New St, Ridgefield, CT 06877-3803 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Meredith Z Naidorf | 77 Seventh Ave, New York, NY 10011 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Meredith K Kosann Md | 23 Lawrence Ln, Harrison, NY 10528-1107 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Guoyang Luo | 80 Wesley Dr, Shelton, CT 06484-5235 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Meredith H Williams | 198 Platt Lane, Milford, CT 06461 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nabeela Khan | 27 Meredith Lane, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Meredith Anne Mcfarland | 3 Kickapoo Run, Charlestown, RI 02813 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Charles E Meredith | 2526 Kingsley Dr Ne, Marietta, GA 30062 | Physician/surgeon | 1993-05-25 ~ 1994-04-30 |
| Meredith G Faggen | 125 Prospect Street, Providence, RI 02906 | Physician/surgeon | 2008-03-24 ~ 2009-04-30 |
Please comment or provide details below to improve the information on MEREDITH WESLEY 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).