BENNETT CLARK
Controlled Substance Registration for Practitioner


Address: 600 N. Wolfe St, Baltimore, MD 21287

BENNETT CLARK (Credential# 1285263) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 30, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

BENNETT CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060249. The credential type is controlled substance registration for practitioner. The effective date is July 30, 2015. The expiration date is February 28, 2017. The business address is 600 N. Wolfe St, Baltimore, MD 21287. The current status is inactive.

Basic Information

Licensee Name BENNETT CLARK
Credential ID 1285263
Credential Number CSP.0060249
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 600 N. Wolfe St
Baltimore
MD 21287
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-07-30
Effective Date 2015-07-30
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1285139 1.054459 Physician/Surgeon 2015-07-29 2015-12-01 - 2016-11-30 INACTIVE

Office Location

Street Address 600 N. Wolfe St
City Baltimore
State MD
Zip Code 21287

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Gary Xin Gong 600 N. Wolfe Street, Baltimore, MD 21287 Physician/surgeon 2018-02-01 ~ 2019-01-31
Petnet Solutions Inc Nelson B1164, Baltimore, MD 21287 Nonresident Pharmacy 2010-09-01 ~ 2011-08-31
Donna Neale Md 600 N Wolfe St Phipps 228, Baltimore, MD 21287-1228 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28

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Competitor

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City Baltimore
Zip Code 21287
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Baltimore

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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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