DAVID P BLAKE (Credential# 1525995) 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.
DAVID P BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068796. 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 7902 Tysons One Place, Mclean, VA 22102. The current status is active.
| Licensee Name | DAVID P BLAKE |
| Credential ID | 1525995 |
| Credential Number | CSP.0068796 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7902 Tysons One Place Mclean VA 22102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1512197 | 1.061499 | Physician/Surgeon | 2018-06-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 7902 Tysons One Place |
| City | McLean |
| State | VA |
| Zip Code | 22102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Multiple System Atrophy Coalition Inc · Msa Coalition | 7918 Jones Branch Drive, Mclean, VA 22102 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Hsbc Bank Usa, National Association | 1800 Tysons Blvd, Tysons, VA 22102 | National Bank Office | 2007-09-12 ~ |
| Cyren Ltd. | 1430 Spring Hill Rd, Ste 330, Mc Lean, VA 22102 | Securities - Exemptions | 2020-04-02 ~ |
| Valcourt Exterior Building Services of Nj LLC | 1600 Tysons Blvd Ste# 950, Mc Lean, VA 22102 | Home Improvement Contractor | 2020-01-06 ~ 2020-11-30 |
| Amit Rastogi | 913 Georgetown Ridge Court, Trumbull, CT 22102 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| John F Amatetti | 8180 Greensboro Dr #200, Mclean, VA 22102 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Scott L. Adams | 1208 Hunters Grove Court, Mc Lean, VA 22102 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Seafood Industry Research Fund Inc | 7918 Jones Branch Dr 700, Mc Lean, VA 22102 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Alpa Emergency Relief Fund Inc | 7950 Jones Branch Drive, Mclean, VA 22102 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| National Fragile X Foundation | 1861 International Drive Ste 200, Mclean, VA 22102 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 22102 | |||
| City | McLean |
| Zip Code | 22102 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + McLean |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Huong T Do | 323 Blake St Apt 64, New Haven, CT 06515-1260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer L Salluzzo | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christopher S Lee | 400 Blake St Apt 5209, New Haven, CT 06515-4431 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Leonard Milstone | 94 Blake Rd, Hamden, CT 06517-3402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luke M Whalen | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James H Blume Dpm | 508 Blake St, New Haven, CT 06515-1287 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael B Vollmar | 99 Blake Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul X Fu | 400 Blake St Apt 4120, New Haven, CT 06515-4419 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Trisha Blake | 2 Park Pl, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna A Blake Pa-c | 305 E 239th St Apt 3j, Bronx, NY 10470-1846 | Controlled Substance Registration for Practitioner | 2011-09-19 ~ 2013-02-28 |
Please comment or provide details below to improve the information on DAVID P BLAKE.
| 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).