EDWARD A CLERKIN III (Credential# 149731) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EDWARD A CLERKIN III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009110. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 48 Redcoat Ln, Unionville, CT 06085. The current status is active.
| Licensee Name | EDWARD A CLERKIN III |
| Credential ID | 149731 |
| Credential Number | CSP.0009110 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
48 Redcoat Ln Unionville CT 06085 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543850 | 1.021804 | Physician/Surgeon | 1979-11-02 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 48 Redcoat Ln |
| City | Unionville |
| State | CT |
| Zip Code | 06085 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taeshin Kim | 151 Coppermine Rd., United States, CT 06085 | Nail Technician | ~ |
| Fuzzy's Foam LLC · Fuzzy's Foam Insulation | 65 Forest St, Unionville, CT 06085 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Darlene L Redman | 97 A Perry Street, Unionville, CT 06085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Morgan M Marshall | 540 Plainville Ave, Unionville, CT 06085 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Oxyair Medical LLC | P.o. Box 471, Unionville, CT 06085 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sara R Stevenson | 4 Aztec Trail, Unionville, CT 06085 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Rupalini Rawal-dhingra | 12 Newcastle Place, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julian I D Mashkovich | 424 Plainville Ave, Unionville, CT 06085 | Emergency Medical Technician | ~ |
| Daniel C Boyd | 46 Woodside Dr, Farmington, CT 06085 | Optician | 2020-09-01 ~ 2021-08-31 |
| Stephanie Caminiti Aprn | 16 Mals Way, Unionville, CT 06085 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06085 | |||
| City | Unionville |
| Zip Code | 06085 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Unionville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin James Clerkin | 173 Fort Washington Ave Rm 4617, New York, NY 10032-3739 | Controlled Substance Registration for Practitioner | 2019-07-10 ~ 2021-02-28 |
| Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward A Williams Jr | 724 Exeter Rd, Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward W Allen Md | 504 Goose Ln, Guilford, CT 06437-2101 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Edward F Casey Jr | 276 Highland Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on EDWARD A CLERKIN III.
| 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).