BRIAN T CLARK (Credential# 511400) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
BRIAN T CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044344. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 82 Oak Ridge Ln., Milford, CT 06461. The current status is inactive.
| Licensee Name | BRIAN T CLARK |
| Credential ID | 511400 |
| Credential Number | CSP.0044344 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
82 Oak Ridge Ln. Milford CT 06461 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-09-22 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 987067 | 1.049635 | Physician/Surgeon | 2011-03-29 | 2014-11-01 - 2015-10-31 | INACTIVE |
| Street Address | 82 Oak Ridge Ln. |
| City | Milford |
| State | CT |
| Zip Code | 06461 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bleixen Carolina Andrade | 18 Grassy Lane, Milford, CT 06461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lesley A Zinsky | 63 Westwood Road, Milford, CT 06461 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Melanie A Maguire | 132 Cornfield Rd, Milford, CT 06461 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Audrey J Seigle | 304 Foxwood Lane, Milford, CT 06461 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ariana M Acquarulo | 663 West Ave #22, Milford, CT 06461 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Ronald D'aurelio | 69 Sassacus Drive, Milford, CT 06461 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kellie Catherine Doris Balfe | 71 Orange Ave, Milford, CT 06461 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Donna J Iaffaldano · Shamatovich | 45 Yankee Hollow Road, Milford, CT 06461 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kaitlynn Stevens | 27 Munson Street, Milford, CT 06461 | Registered Nurse | ~ |
| Scott S Lucas | 59 Undine Street, Milford, CT 06461 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06461 | |||
| City | Milford |
| Zip Code | 06461 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Randal Zhou | 84 Clark St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 2021-02-28 |
| Husham Sharifi | 63 Clark St, New Haven, CT 06511-3801 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mitchell B Clark | 800 Summer St, Stamford, CT 06901-1023 | Controlled Substance Registration for Practitioner | 2017-02-01 ~ 2019-02-28 |
| Charles Licata Do | 625 Clark Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Margaret Mccarthy Dvm | 186 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Jerry A Ferrentino | 140 Clark St, Milford, CT 06460-8427 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Tumeniuk | 21 W Clark St, Milford, CT 06460-2517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith K Clark | 137 West Rd, Collinsville, CT 06019-3742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joyce Clark Dvm | 765 South End Rd, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on BRIAN T 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).