JACK STARK (Credential# 163520) 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.
JACK STARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021171. 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 132 Main St, Danbury, CT 06810. The current status is active.
| Licensee Name | JACK STARK |
| Credential ID | 163520 |
| Credential Number | CSP.0021171 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
132 Main St Danbury CT 06810 |
| 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 | 2019-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 741793 | 23.000044 | Physician Assistant | 1993-06-25 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 132 MAIN ST |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald O Franklin | 132 Main St, Danbury, CT 06810-7863 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Spyro A Smith | 132 Main St, Danbury, CT 06810-7863 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Richard J Kopf | 132 Main St, Danbury, CT 06810 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Paul F Dobies | 132 Main St, Danbury, CT 06810-7863 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen E Coblens Md | 132 Main St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danielle S Phillip-journal | 132 Main St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madalina I Raut Md | 132 Main St, Danbury, CT 06810-7863 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey S Metzger Md | 132 Main St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally A Roscoe | 132 Main St, Danbury, CT 06810 | Registered Nurse | 2008-11-10 ~ 2009-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tom E Stark Do | 780 Litchfield Street, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Barry I Stark | 337 Notch Hill Rd, North Branford, CT 06471 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Phillip M Stark Md | Woodland Anesthesia Association, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jack Zazzaro, D.m.d. | 316 Main St S Ste D, Southbury, CT 06488-4238 | Controlled Substance Registration for Practitioner | 2016-03-14 ~ 2017-02-28 |
| Sonja L Stark Aprn | 1004 New Windsor Loop, Sun City Center, FL 33573 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jack Holden Md | Po Box 709, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Jack J Tse | 546 S Broad St, Meriden, CT 06450-6600 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jack Finkelstein | 40 Gay St, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jack Grinnan | 55 Trumbull St, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| S Jack Landau Md | 44 W 62nd St Apt 7f, New York, NY 10023-7010 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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| 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).