AMY LEIGH STARK (Credential# 1404101) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.
AMY LEIGH STARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056306. The credential type is physician/surgeon. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 171 Grandeville Rd Sw, Rochester, MN 55902-2485. The current status is inactive.
| Licensee Name | AMY LEIGH STARK |
| Credential ID | 1404101 |
| Credential Number | 1.056306 |
| Credential Type | Physician/Surgeon |
| Business Address |
171 Grandeville Rd Sw Rochester MN 55902-2485 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-03-29 |
| Effective Date | 2018-04-01 |
| Expiration Date | 2019-03-31 |
| Refresh Date | 2019-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1415125 | CSP.0065114 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-31 | 2017-03-31 - 2019-02-28 | LAPSED |
| Street Address | 171 GRANDEVILLE RD SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2485 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eunsook Samantha Lee | 910 Wicklow Lane Sw, Rochester, MN 55902 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Pradeep K Siddappa | 620 2nd St Sw 311, Rochester, MN 55902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua L Shones | 635 36th St Sw, Rochester, MN 55902 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Hildon House Usa | 1421 20th St S W, Rochester, MN 55902 | Non-alcoholic Beverage & Water Bottlers | 1997-06-10 ~ 1998-06-30 |
| Manuel A Moreno Gonzales | 159 Grandeville Road Sw Vnh22, Rochester, MN 55902 | Controlled Substance Registration for Practitioner | 2016-06-29 ~ 2017-02-28 |
| Eileen F Hawkins | 844 7th Ave Sw, Rochester, MN 55902 | Registered Nurse | 1993-05-25 ~ 1994-07-31 |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
| Craig A Hawkins | 844 7th Avenue Sw, Rochester, MN 55902 | Physician/surgeon | 1994-02-25 ~ 1995-01-31 |
| Heilia L Vines | 2804 2nd Street Sw, Rochester, MN 55902 | Registered Nurse | 2007-01-08 ~ 2008-01-31 |
| Lynette J Krakowski | 2845 Fox Valley Dr, Rochester, MN 55902 | Registered Nurse | 1994-06-16 ~ 1995-06-30 |
| Find all Licenses in zip 55902 | |||
| City | ROCHESTER |
| Zip Code | 55902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ROCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Stark | 40 West Elm St, Greenwich, CT 06830 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephen I Stark | 2825 J Street, Sacramento, CA 95816 | Physician/surgeon | 2005-07-08 ~ 2006-08-31 |
| Justin Lee | 1100 Stark Drive, Mt Vernon, IL 62864 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Leigh R Wilson Do | 152 Millport Ave, New Canaan, CT 06840 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Hoyle Leigh | 12535 Moffatt Ln., Fresno, CA 93720 | Physician/surgeon | 2009-02-23 ~ 2010-03-31 |
| Kathryn Leigh Sigalow | 46 Merriland Rd, Stamford, CT 06903-1717 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leigh S Bergmann | 919 Conestoga Road, Rosemont, PA 19010 | Physician/surgeon | 2006-12-18 ~ 2007-10-31 |
| Diana Leigh Rowell | 375 Farmington Ave, New Britain, CT 06053-2356 | Physician/surgeon | 1991-05-31 ~ 1992-04-30 |
| Stark Raving Stark Raving Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-12-22 ~ 2019-12-21 |
| Leigh J Marcus | 7840 Oracle Place, Potomac, MD 20854 | Physician/surgeon | 2009-04-20 ~ 2010-06-30 |
Please comment or provide details below to improve the information on AMY LEIGH STARK.
| 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).