MATTHEW S CLARK
Physician/surgeon


Address: Po Box 129, Montrose, NY 10548-0129

MATTHEW S CLARK (Credential# 1214496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

MATTHEW S CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053638. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is Po Box 129, Montrose, NY 10548-0129. The current status is active.

Basic Information

Licensee Name MATTHEW S CLARK
Credential ID 1214496
Credential Number 1.053638
Credential Type Physician/Surgeon
Business Address Po Box 129
Montrose
NY 10548-0129
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-11-04
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-09-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1183409 2.011099 Dentist 2013-11-26 2019-12-01 - 2020-11-30 ACTIVE
1220476 22.008477 Dental Anesthesia/Conscious Sedation Permit 2014-09-19 2019-10-01 - 2020-09-30 ACTIVE
1214927 CSP.0056945 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-04-09 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address PO Box 129
City Montrose
State NY
Zip Code 10548-0129

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Donald F Izzo 6 Marisa Court, Montrose, NY 10548 Paramedic 2020-07-01 ~ 2021-06-30
Leana Marie Travis 103 Coachlight Square, Montrose, NY 10548 Registered Nurse 2020-03-01 ~ 2021-02-28
Christine F Crimmins 64 Montrose Point Rd., Montrose, NY 10548 Registered Nurse 2019-12-01 ~ 2020-11-30
Donna U Baker 3 Crystal Court, Montrose, NY 10548 Notary Public Appointment 2005-11-21 ~ 2010-11-30
Marie Curtis 265 Coachlight Square, Montrose, NY 10548 Notary Public Appointment 2000-07-18 ~ 2005-07-31
Judy Coppola 269 Coachlight Square, Montrose, NY 10548 Notary Public Appointment 2005-02-23 ~ 2010-02-28
James W Booth IIi · Car Keys Express 37 Kings Ferry Rd, Montrose, NY 10548 Locksmith 2019-08-27 ~ 2020-12-31
Nicole S Mordin 12 Harper Ave, Montrose, NY 10548 Registered Nurse 2019-08-01 ~ 2020-07-31
Merrill L Roth 9 Travis Lane, Montrose, NY 10548 Real Estate Broker 2018-04-01 ~ 2019-03-31
John Dwyer · Dwyer Woodworking 1 Dutch St, Montrose, NY 10548 Home Improvement Contractor 2008-12-01 ~ 2009-11-30
Find all Licenses in zip 10548

Competitor

Search similar business entities

City Montrose
Zip Code 10548
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Montrose

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
R S Briggs Md 138 Clark Rd, Litchfield, CT 06759 Physician/surgeon 2006-12-21 ~ 2007-12-31
Ann O Massion Md 157 Clark St, Worcester, MA 01606 Physician/surgeon 2002-04-16 ~ 2003-05-31
Michael K Mccloud Md 2 Clark Dr #322, San Mateo, CA 94401 Physician/surgeon 1998-12-28 ~ 2000-02-29
Marie Bellantoni 140 Clark St, Milford, CT 06460 Physician/surgeon 1994-04-28 ~ 1995-03-31
Todd A Silberstein Do 198 Clark Ave, Branford, CT 06405 Physician/surgeon 2006-12-28 ~ 2007-12-31
Brian J Clark 1 Caleb Ct, Guilford, CT 06437-2298 Physician/surgeon 2020-07-01 ~ 2021-06-30
Clark E O'brien P.o. Box 722, West Simsbury, CT 06092 Physician/surgeon 2018-11-01 ~ 2019-10-31
Denise Clark 1 North Ln, Albany, NY 12211-1629 Physician/surgeon 2020-08-01 ~ 2021-07-31
Harvey E Armel 140 Clark St, Milford, CT 06460-3221 Physician/surgeon 2020-03-01 ~ 2021-02-28
Antonio Scappaticci Md 625 Clark Ave, Bristol, CT 06010 Physician/surgeon 2020-09-01 ~ 2021-08-31

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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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