THAYER AUBREY CLARK
Controlled Substance Registration for Practitioner


Address: 20 Essex Lane, Woodbury, CT 06798-1702

THAYER AUBREY CLARK (Credential# 1530080) 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.

Business Overview

THAYER AUBREY CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069023. 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 20 Essex Lane, Woodbury, CT 06798-1702. The current status is active.

Basic Information

Licensee Name THAYER AUBREY CLARK
Credential ID 1530080
Credential Number CSP.0069023
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Essex Lane
Woodbury
CT 06798-1702
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-13
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1526619 12.007667 Advanced Practice Registered Nurse 2018-07-12 2019-08-01 - 2020-07-31 ACTIVE
1259804 10.124304 Registered Nurse 2015-01-21 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 20 essex lane
City WOODBURY
State CT
Zip Code 06798-1702

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Marguerite H Starr 246 Church Hill Rd, Woodbury, CT 06798-1702 Real Estate Salesperson 2020-06-01 ~ 2021-05-31

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Russell J Hardy 229 Bacon Pond Rd #114, Woodbury, CT 06798 Registered Nurse 2020-07-01 ~ 2021-06-30
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Ayrica L Gelinas 65 Laurel Woods Road, Woodbury, CT 06798 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Christopher R Laux Grey Fox Trail, Woodbury, CT 06798 Architect 2020-08-01 ~ 2021-07-31
Diane L Robinson P O Box 208, Woodbury, CT 06798 Registered Nurse 2020-08-01 ~ 2021-07-31
Scott Freitag 47 Woodbury Hill, Woodbury, CT 06798 Medication Administration Certification ~
Brenda L Lupo 31 Blueberry Lane, Woodbury, CT 06798 Registered Nurse 2020-07-01 ~ 2021-06-30
Jennifer L Thompson 1280 Main St. North, Woodbury, CT 06798 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Eileen O Pflegl 3 Hazel Plain Road, Woodbury, CT 06798 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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Competitor

Search similar business entities

City WOODBURY
Zip Code 06798
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBURY

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Dataset Information

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).

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