CLIFFORD C EVANS DMD (Credential# 147700) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
CLIFFORD C EVANS DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004434. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 27 Bridge St, Stamford, CT 06905. The current status is inactive.
| Licensee Name | CLIFFORD C EVANS DMD |
| Credential ID | 147700 |
| Credential Number | CSP.0004434 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Bridge St Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-01 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 700601 | 2.004690 | Dentist | 1974-05-18 | 2015-03-01 - 2015-12-09 | INACTIVE |
| 741617 | 22.004690 | Dental Anesthesia/Conscious Sedation Permit | 1988-04-01 | 2015-05-01 - 2015-12-09 | INACTIVE |
| Street Address | 27 BRIDGE ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald J Case Dmd | 27 Bridge St, Stamford, CT 06905 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Naushad R Edibam Dmd | 27 Bridge St, Stamford, CT 06905-4501 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clifford Stirba | 7 Cuprak Rd, Norwich, CT 06360-2007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clifford Perez | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2010-08-27 ~ 2011-02-28 |
| Clifford Sung | 307 Alden Ave Apt 3, New Haven, CT 06515-2113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martha E Haykin | 51 Clifford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Clifford S Myers Pa | 180 Linley Dr, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clifford A Selsky | 64 Dix Street, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1993-03-25 ~ 1995-02-01 |
| Clifford T Conklin Jr | 16 Grand St, Thomaston, CT 06787 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Clifford Rosenberg Md | 81 Coe Street, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clifford C Heidinger Dvm | 614 Main St, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clifford J. Fields | 43 Elmgrove Ave, Providence, RI 02906-4103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CLIFFORD C EVANS DMD.
| 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).