MARK CLARK (Credential# 2033030) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARK CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073457. The credential type is controlled substance registration for practitioner. The effective date is April 19, 2020. The expiration date is February 28, 2021. The business address is 996 E Main St, Torrington, CT 06790-3909. The current status is active.
| Licensee Name | MARK CLARK |
| Credential ID | 2033030 |
| Credential Number | CSP.0073457 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
996 E Main St Torrington CT 06790-3909 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-19 |
| Effective Date | 2020-04-19 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2033008 | 23.004793 | Physician Assistant | 2020-04-19 | 2020-04-19 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Clark | 25 Hawthorne Avenue, Hamden, CT 06517 | Distribution System Operator In Training | 2003-01-01 ~ 2005-12-31 |
| Mark Clark | 295 Alvord Park Rd., Torrington, CT 06790-3468 | Medication Administration Certification | 1997-01-16 ~ 1999-01-15 |
| Street Address | 996 E MAIN ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-3909 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Kise | 996 E Main St, Torrington, CT 06790-3909 | Controlled Substance Registration for Practitioner | 2020-05-08 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Club 24 Concepts Gyms | 992 E Main St, Torrington, CT 06790-3909 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Odyssey Group Fitness LLC | 1000b E Main St, Torrington, CT 06790-3909 | Health Club | 2019-10-01 ~ 2020-09-30 |
| George De Dominicis · Sky Top Lanes | 1000 E Main St, Torrington, CT 06790-3909 | Bowling Establishment Liquor | 2015-12-17 ~ 2016-06-16 |
| Energy Fitness LLC | 1000b E Main St, Torrington, CT 06790-3909 | Health Club | 2011-09-28 ~ 2011-09-30 |
| Fuel@energy | 1000b E Main St, Torrington, CT 06790-3909 | Non-alcoholic Beverage & Water Bottlers | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TORRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret Mccarthy Dvm | 186 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Charles Licata Do | 625 Clark Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joyce Clark Dvm | 765 South End Rd, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Randal Zhou | 84 Clark St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 2021-02-28 |
| Brian T Clark | 82 Oak Ridge Ln., Milford, CT 06461 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charlotte Clark | 9 Paradise Rd, Bronxville, NY 10708-2205 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Jeffrey M Matheny Md | 220 Clark Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| S Clark Sugg Md | Norfolk Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Cristiana O Clark | 825 Orange St Fl 2, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Terri P Clark | 141 Cannon St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
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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).