JOHN H CLARK APRN
Controlled Substance Registration for Practitioner


Address: 5049 Avocet Ln, Pensacola, FL 32514

JOHN H CLARK APRN (Credential# 349934) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

JOHN H CLARK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034034. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 5049 Avocet Ln, Pensacola, FL 32514. The current status is inactive.

Basic Information

Licensee Name JOHN H CLARK APRN
Credential ID 349934
Credential Number CSP.0034034
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5049 Avocet Ln
Pensacola
FL 32514
Business Type BUSINESS
Status INACTIVE
Issue Date 2006-04-07
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
681035 12.002857 Advanced Practice Registered Nurse 2003-04-03 2006-07-27 - 2007-09-30 INACTIVE
643092 10.R40669 Registered Nurse 1986-10-01 2006-07-27 - 2007-09-30 INACTIVE

Office Location

Street Address 5049 AVOCET LN
City PENSACOLA
State FL
Zip Code 32514

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Gail F Chambers 905 Crystal Creek Cr, Pensacola, FL 32514 Registered Nurse 2014-07-01 ~ 2015-06-30
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Thomas B Watson IIi 3010 East Kingsfield Rd, Pensacola, FL 32514 Professional Engineer 2002-07-16 ~ 2003-01-31
Harish K Malhotra 8331 N. Davis Highway, Pensacola, FL 32514 Physician/surgeon 2011-10-01 ~ 2012-09-30
Joanne H Neri 2764 Belle Meadow, Pensacola, FL 32514 Registered Nurse 1993-05-25 ~ 1994-05-31
Phillip M Peterson 2783 Cottonwood La, Pensacola, FL 32514 Nursing Home Administrator 1997-11-13 ~ 1999-01-31
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Competitor

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City PENSACOLA
Zip Code 32514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PENSACOLA

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Dataset Information

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).

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