CLARK ADAMS PA (Credential# 741753) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CLARK ADAMS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000004. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 174 Jewett Drive, Bennington, VT 05201. The current status is active.
| Licensee Name | CLARK ADAMS PA |
| Credential ID | 741753 |
| Credential Number | 23.000004 |
| Credential Type | Physician Assistant |
| Business Address |
174 Jewett Drive Bennington VT 05201 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163762 | CSP.0021239 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 174 Jewett Drive |
| City | Bennington |
| State | VT |
| Zip Code | 05201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Cope | 323 Southshire Drive, Bennington, VT 05201 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| David B Nicol | 216 Elm St, Bennington, VT 05201 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Comalli | 106 Cyr Ct, Bennington, VT 05201 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Arthur R Groux | 276 Finley Drive, Benningtong, VT 05201 | Paramedic | 2020-03-01 ~ 2021-02-28 |
| Cherylann C Lemay | 39 Mountain Rd, Woodford, VT 05201 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| David T Zahorsky | 208 Union Street #4, Bennington, VT 05201 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Christopher R Bevin | 225 Carpenter Hill Rd., Bennington, VT 05201 | Dentist | 2019-04-01 ~ 2020-03-31 |
| Michael Andrews | 115 Putnam Street, Bennington, VT 05201 | Electrical Unlimited Contractor | 2016-10-03 ~ 2017-09-30 |
| Green Mountain Steel Erectors | P.o. Box 798, 458 Morse Rd., Bennington, VT 05201 | Crane Registration | 2011-01-26 ~ 2012-01-25 |
| Arlene Rogers | 206 Beech St, Bennington, VT 05201 | Licensed Practical Nurse | 2016-06-01 ~ 2017-05-31 |
| Find all Licenses in zip 05201 | |||
| City | Bennington |
| Zip Code | 05201 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Bennington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Lee Harger | 24 Adams Dr, Terryville, CT 06786-6013 | Physician Assistant | ~ |
| Michelle R Adams | 40 Prospect Ave Apt 1mbldg 1, Norwalk, CT 06850-3714 | Physician Assistant | 2012-12-01 ~ 2013-11-30 |
| Julie A Adams | 6695 Buckingham Dr, Gladstone, OR 97027-1045 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
| Kara M Clark | 124 Wynwood Dr, New Milford, CT 06776-4231 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| William Avery Pa | 120 Clark St, Milford, CT 06460 | Physician Assistant | 2007-07-19 ~ 2008-08-31 |
| Katelyn M Morico | 318 Clark Ave, Branford, CT 06405-4704 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jayme M Clark | 320 Shepard Ave, Hamden, CT 06514-1629 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kyle Edward Adams | 31 Puttker Road, North Stonington, CT 06359 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Janis E Morin | 204 Clark Hill Rd, East Haddam, CT 06423-1510 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jennifer Clark-connor | 28 Bramblebrae, South Windsor, CT 06074-2135 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).