CLIVE L JOHNSON DO (Credential# 526473) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CLIVE L JOHNSON DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045193. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 117 Main St, Stamford, CT 06901-2818. The current status is active.
| Licensee Name | CLIVE L JOHNSON DO |
| Credential ID | 526473 |
| Credential Number | CSP.0045193 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
117 Main St Stamford CT 06901-2818 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-03-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564869 | 1.047287 | Physician/Surgeon | 2009-01-12 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 117 MAIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-2818 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Main Street Clinic | 117 Main St, Stamford, CT 06901-2818 | Substance Abuse | 2020-04-01 ~ 2022-03-31 |
| Liberation Programs Wellness Van | 117 Main St, Stamford, CT 06901 | Substance Abuse | 2019-11-19 ~ 2021-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liberation Clinic | 125 Main St, Stamford, CT 06901-2818 | Substance Abuse | 2020-04-01 ~ 2022-03-31 |
| Liberation House | 119 Main St, Stamford, CT 06901-2818 | Substance Abuse | 2020-04-01 ~ 2022-03-31 |
| Liberation Programs, Inc. | 125 Main St, Stamford, CT 06901-2818 | Psychiatric Outpatient Clinic | 2018-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clive L Hamilton Dds | 585 Ellsworth St Apt 4m, Bridgeport, CT 06605-2525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Malcolm Clive Robinson | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | ~ |
| Michael J Antoniello Md | 46 Johnson Hts, Waterville, ME 04901-4907 | Controlled Substance Registration for Practitioner | 2011-02-14 ~ 2013-02-28 |
| Robert Johnson Md | 129 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Chelsea N Johnson | 265 College St Apt 4d, New Haven, CT 06510-2421 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lynelle Johnson | 155 Brown St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2007-03-13 ~ 2008-02-29 |
| Patrick W Johnson | 52 Augur St, Hamden, CT 06517-3437 | Controlled Substance Registration for Practitioner | 2017-03-17 ~ 2019-02-28 |
| Jonathan F Johnson | 25 Prospect St Apt 2b, Milford, CT 06460-4873 | Controlled Substance Registration for Practitioner | 2019-10-07 ~ 2021-02-28 |
| Alexander L Johnson | 257 W 97th St, New York, NY 10025-6219 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Matthew Johnson Pa-c | 149 Water St Apt 37, Norwalk, CT 06854-3758 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CLIVE L JOHNSON DO.
| 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).