JUSTIN STILES CLARK (Credential# 1688577) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
JUSTIN STILES CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064526. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is November 30, 2020. The business address is 22 Llanfair Road, Unit 6, Ardmore, PA 19003. The current status is active.
| Licensee Name | JUSTIN STILES CLARK |
| Credential ID | 1688577 |
| Credential Number | 1.064526 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Llanfair Road, Unit 6 Ardmore PA 19003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-04 |
| Street Address | 22 Llanfair Road, Unit 6 |
| City | Ardmore |
| State | PA |
| Zip Code | 19003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arjun Kalyanpur Md | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lorenzo Mannelli | 22 Llanfair Rd., Ardmore, PA 19003 | Physician/surgeon | ~ |
| Sumathi Wable | 22 Llanfair Rd., Ardmore, PA 19003 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Aditya R Daftary Md | 22 Llanfair Road, Ardmore, PA 19003 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Langan Phelps Robbins | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Eric F Bernstein | 32 Parking Plaza, Ardmore, PA 19003 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Jessica A Vitali | 2435 Bryn Mawr Avenue, Ardmore, PA 19003 | Architect | 2019-08-01 ~ 2020-07-31 |
| Robert F Serpente | 310 Ardmore Ave, Ardmore, PA 19003 | Professional Engineer | 1990-12-20 ~ 1992-01-31 |
| Daniel H Socket | 2735 Haverford Road, Arvmore, PA 19003 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Ephraim F Brecher | 731 W Wynnewood Rd #19, Ardmore, PA 19003 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Find all Licenses in zip 19003 | |||
| City | Ardmore |
| Zip Code | 19003 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Ardmore |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey D Stiles | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-06-09 ~ 2005-12-31 |
| Wendy L Stiles | 506 W Holly St, Phoenix, AZ 85003-1119 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Sander M Abend | 20 Stiles Lane, Greenwich, CT 06831 | Physician/surgeon | 2006-01-23 ~ 2007-01-31 |
| Sasha E Stiles | 1335 S Mesa Ct, Superior, CO 80027-8058 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Clark H Neuringer | 622 Stiles Ave, Mamaroneck, NY 10543 | Architect | 2004-08-01 ~ 2005-07-31 |
| Deirdre H Clark | 29 Stiles Farm Road, Wilton, NH 03086 | Registered Nurse | 2009-09-01 ~ 2010-08-31 |
| Justin J De Grado | Psc 475 Box 1812, Fpo, 96350 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Justin J Finch | 1 Willowbrook Rd, Cromwell, CT 06416-1745 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Justin Marshall | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Justin Cashman | 821 Chesapeake Ave, Annapolis, MD 21403-3249 | Physician/surgeon | 2014-08-15 ~ 2015-07-31 |
Please comment or provide details below to improve the information on JUSTIN STILES CLARK.
| 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).