CLARK E O'BRIEN
Physician/surgeon


Address: P.o. Box 722, West Simsbury, CT 06092

CLARK E O'BRIEN (Credential# 545682) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2019. The license status is INACTIVE.

Business Overview

CLARK E O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025836. The credential type is physician/surgeon. The effective date is November 1, 2018. The expiration date is October 31, 2019. The business address is P.o. Box 722, West Simsbury, CT 06092. The current status is inactive.

Basic Information

Licensee Name CLARK E O'BRIEN
Credential ID 545682
Credential Number 1.025836
Credential Type Physician/Surgeon
Business Address P.o. Box 722
West Simsbury
CT 06092
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1984-07-19
Effective Date 2018-11-01
Expiration Date 2019-10-31
Refresh Date 2020-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
144223 CSP.0012547 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address P.O. Box 722
City West Simsbury
State CT
Zip Code 06092

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Richard E Schoenhardt 7 Pasture Ln, W Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Agnes M Walsh 202 Farms Village Road, West Simsbury, CT 06092 Physical Therapist 2020-09-01 ~ 2021-08-31
Theodore C Hsu 22 Fox Den Road, West Simsbury, CT 06092 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Keith R Epstein 34 Fox Den Rd, Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Laura L Nelson 109 Hedgehog Lane, West Simsbury, CT 06092 Nursing Home Administrator 2020-09-01 ~ 2022-08-31
Kathryn P Rothstein 7 Sachems Trail, West Simsbury, CT 06092 Registered Nurse 2020-09-01 ~ 2021-08-31
Timothy M Parker 14 Cedar Hill Rd, West Simsbury, CT 06092 Registered Nurse 2020-07-01 ~ 2021-06-30
Teresa Pfau St Denis 55 Wildwood Rd, W Simsbury, CT 06092 Architect 2020-08-01 ~ 2021-07-31
Jennifer R Martocchio 6 Counrty Club Drive, West Simsbury, CT 06092 Real Estate Salesperson ~
Felipe R Segura 370c West Mountain Road, West Simsbury, CT 06092 Real Estate Salesperson 2020-06-10 ~ 2021-05-31
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Competitor

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City West Simsbury
Zip Code 06092
License Type Physician/Surgeon
License Type + County Physician/Surgeon + West Simsbury

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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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