KIM CLARKIN (Credential# 1330628) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KIM CLARKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054966. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 47 Lynwood Rd, Verona, NJ 07044-1714. The current status is active.
| Licensee Name | KIM CLARKIN |
| Credential ID | 1330628 |
| Credential Number | 1.054966 |
| Credential Type | Physician/Surgeon |
| Business Address |
47 Lynwood Rd Verona NJ 07044-1714 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-03-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1337540 | CSP.0062210 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 932978 | CSP.0047690 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-05-27 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 47 LYNWOOD RD |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-1714 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A. Patrick | 167 Sunset Ave, Verona, NJ 07044 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mohammed El-hawwat · Eit #38475 Nj 7/1/94 | 14 Halsted St, Verona, NJ 07044 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher J Papa | 1 Bahr Circle, Verona, NJ 07044 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Rudolph P Frizzi | 2 Georgian Road, Verona, NJ 07044 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael P Foggio | 251 1/2 Grove Ave, Verona, NJ 07044 | Crane Registration | 2011-08-19 ~ 2012-08-18 |
| Susan Samberg | 1 Claridge Dr, Verona, NJ 07044 | Real Estate Salesperson | ~ 2012-02-01 |
| Mary Beth Friel | 799 Bloomfield Ave, Suite 201, Verona, NJ 07044 | Physician/surgeon | ~ |
| Melvin Wolkstein | 2 Claridge Drive, Verona, NJ 07044 | Professional Engineer | 2011-02-15 ~ 2012-01-31 |
| Kenneth J Larsson · Converse Consultants East | 59 Elmwood Rd, Verona, NJ 07044 | Professional Engineer | 1989-02-17 ~ 1990-01-31 |
| Gordon L Kirjassoff | Clardg Hse II, Verona, NJ 07044 | Professional Engineer | 1989-05-11 ~ 1990-01-31 |
| Find all Licenses in zip 07044 | |||
| City | VERONA |
| Zip Code | 07044 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + VERONA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Crystal Clarkin Pa | 2 Johnnycake Ln, Ivoryton, CT 06442 | Physician Assistant | 2007-07-02 ~ 2008-06-30 |
| Christopher M Clarkin | 57 Nantucket Dr, Mystic, CT 06355-1113 | Emergency Medical Technician | 2017-04-24 ~ 2020-06-30 |
| Elizabeth C Ware · Clarkin | 716 Curtis Dr, Pennsville, NJ 08070 | Occupational Therapist | 1995-05-26 ~ 1997-07-31 |
| Robert S Clarkin | 49 Seward Place, Staten Island, NY 10314 | Emergency Medical Technician | ~ |
| Thomas P Clarkin | 155 Finch Lane, Saunderstown, RI 02874 | Real Estate Broker | ~ |
| James F Clarkin | 57 Ralph Avenue, Newington, CT 06111 | Emergency Medical Responder | ~ 1994-01-01 |
| Louise E Clarkin | 25 Holmes Street, Ridgefield, CT 06877 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
| Elizabeth Clarkin | 11 Melanie Lane, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Barbara Clarkin | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2013-06-05 ~ 2015-06-04 |
| Cheryl P Clarkin | 23 Valley View Drive, Tolland, CT 06084 | Notary Public Appointment | 2015-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on KIM CLARKIN.
| 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).