CORYN B CLARK APRN (Credential# 649699) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CORYN B CLARK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R49952. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 234 Glenbrook Rd Unit 4011, Storrs Mansfield, CT 06269-4011. The current status is active.
Licensee Name | CORYN B CLARK APRN |
Credential ID | 649699 |
Credential Number | 10.R49952 |
Credential Type | Registered Nurse |
Business Address |
234 Glenbrook Rd Unit 4011 Storrs Mansfield CT 06269-4011 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1994-05-27 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
679496 | 12.001316 | Advanced Practice Registered Nurse | 1996-04-26 | 2020-07-01 - 2021-06-30 | ACTIVE |
457489 | CSP.0040936 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
175142 | CSP.0024384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 234 GLENBROOK RD UNIT 4011 |
City | STORRS MANSFIELD |
State | CT |
Zip Code | 06269-4011 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Uconn Student Health and Wellness | 234 Glenbrook Rd Unit 4011, Storrs Mansfield, CT 06269-4011 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
Christine Rodriguez | 234 Glenbrook Rd Unit 4011, Storrs Mansfield, CT 06269-4011 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Judith H Dessel | Student Health & Wellness, Storrs, CT 06269-4011 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Kristin F Bissell Md | 234 Glenbrook Rd # U-4011, Storrs, CT 06269-4011 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Carly A Taylor | 234 Glenbrook Rd, Storrs, CT 06269-4011 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jeffrey M Anderson | Uconn Student Health Services, Storrs, CT 06269-4011 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie Milan | 406 Babbidge Rd., Storrs, CT 06269 | Psychologist | 2020-05-01 ~ 2021-04-30 |
University of Connecticut | 626 Gilbert Rd Ext, Storrs, CT 06269 | University Liquor | 2019-05-07 ~ 2020-09-06 |
Catie L Dann | 2095 Hillside Road, Storrs, CT 06269 | Athletic Trainer | 2020-06-01 ~ 2021-05-31 |
3bc | 1391 Storrs Rd, Storrs, CT 06269 | Manufacturer of Hemp Consumables | 2020-02-10 ~ 2021-06-30 |
Baikun Li | 261 Glenbrook Rd Unit #2037, Storrs Mansfield, CT 06269 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Xiuling Lu | 69 North Eagleville Rd, Storrs, CT 06269 | Controlled Substance Laboratory | 2020-01-30 ~ 2021-01-31 |
Park Seung Ryul | 102-1206 30 Nambusunhwan-ro 363-gil, Seoul, 06269 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
University of Connecticut Police Department | 126 North Eagleville Road, Storrs Mansfield, CT 06269 | Prescription Drug Drop Box | 2020-02-01 ~ 2021-01-31 |
Lauren Nicole Sheldon | 2095 Hillside Rd, Storrs, CT 06269 | Athletic Trainer | 2020-02-01 ~ 2021-01-31 |
Eric S Beck | 337 Mansfield Road, Storrs, CT 06269 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06269 |
City | STORRS MANSFIELD |
Zip Code | 06269 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + STORRS MANSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia Rathmann Aprn | 18 Clark Dr, West Hartford, CT 06117-2904 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Coryn F Muszynski | 8 Green Woods Ln, Unionville, CT 06085-1552 | Emergency Medical Technician | ~ |
Qourtne Coryn Young | 75 Church Street, Thompson, CT 06277 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
Jenifer M Clark Aprn | 467 New Haven Ave, Milford, CT 06460-3615 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Janet L Murphy Aprn | 253 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John H Clark Aprn | 5049 Avocet Ln, Pensacola, FL 32514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
David R Clark-coller Aprn | 100 Calamus Meadow Road, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael G Clark · Clark & Co | 15 Elton Street, Torrington, CT 06790 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
Clark Rd | 32 Clark Road, Naugatuck, CT 06770 | Community Living Arrangement | 2018-08-01 ~ 2020-07-31 |
Kevin A Clark · K A Clark | 67 Carriage Dr, Wallingford, CT 06492 | Home Improvement Contractor | ~ 1995-08-01 |
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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).