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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
144223 | CSP.0012547 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | P.O. Box 722 |
City | West Simsbury |
State | CT |
Zip Code | 06092 |
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 |
Find all Licenses in zip 06092 |
City | West Simsbury |
Zip Code | 06092 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + West Simsbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Meghan O'brien | 8 Hancock Pl, Irvington, NY 10533-2506 | Physician/surgeon | ~ |
Michael R O'brien | 110 Avon St Apt 1, New Haven, CT 06511-2423 | Physician/surgeon | ~ |
Catherine L O'brien | 506 Fallbrook Dr., Venice, FL 34292 | Physician/surgeon | 2006-03-23 ~ 2006-08-31 |
James W. O'brien Md | 888 S King St, Honolulu, HI 96813-3097 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
James R Merikangas | C/o O'brien, Bethany, CT 06524 | Physician/surgeon | 2002-01-03 ~ 2003-02-28 |
James E O'brien Md | 31 Surrey Dr, Wethersfield, CT 06109 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Elizabeth A O'brien | 9 Forest Green Rd, Rye, NH 03870-2047 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
Richard A O'brien | Suite 230, Hunt Valley, MD 21030 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
Stephen T O'brien | 804 Meadowview Dr, East Windsor, CT 06088-9107 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
John J O'brien | 88 Bainbridge Rd, West Hartford, CT 06119 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).