KARA M CLARK (Credential# 1296711) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KARA M CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003391. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 124 Wynwood Dr, New Milford, CT 06776-4231. The current status is active.
| Licensee Name | KARA M CLARK |
| Credential ID | 1296711 |
| Credential Number | 23.003391 |
| Credential Type | Physician Assistant |
| Business Address |
124 Wynwood Dr New Milford CT 06776-4231 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1306928 | CSP.0061367 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 124 WYNWOOD DR |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-4231 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | NEW MILFORD |
| Zip Code | 06776 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Martin | 82 Hartford Ave W, Mendon, MA 01756-1035 | Physician Assistant | 2020-06-20 ~ 2021-03-31 |
| Kara S Lombardo | 24 Hospital Ave, Danbury, CT 06810 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kara F Strippoli Pa-c | 616 Windsor Court, Cheshire, CT 06410 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kara Denz Fluck | 61 Stoneridge Rd, Colchester, CT 06415-2348 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Kara Pacelia | 1000 Asylum Ave Ste 3201e, Hartford, CT 06105-1714 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jayme M Clark | 320 Shepard Ave, Hamden, CT 06514-1629 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katelyn M Morico | 318 Clark Ave, Branford, CT 06405-4704 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William Avery Pa | 120 Clark St, Milford, CT 06460 | Physician Assistant | 2007-07-19 ~ 2008-08-31 |
| Clark Adams Pa | 174 Jewett Drive, Bennington, VT 05201 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Jennifer Clark-connor | 28 Bramblebrae, South Windsor, CT 06074-2135 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).