SHANA S. CLARK (Credential# 943248) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
SHANA S. CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 921 Route 11 South, Kirkwood, NY 13795. The current status is expired application.
| Licensee Name | SHANA S. CLARK |
| Credential ID | 943248 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
921 Route 11 South Kirkwood NY 13795 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Refresh Date | 2016-02-23 |
| Street Address | 921 ROUTE 11 SOUTH |
| City | KIRKWOOD |
| State | NY |
| Zip Code | 13795 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond R Meattey | 17 Valley Vista, Kirkwood, NY 13795 | Electrical Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl Lynn Corwin | 1209 Grandview Dr, Kirkwood, MO 63122-5524 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Gail M Metzler | 203 Gilbert Street, Kirkwood, MO 63122 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kelly N Reed | 1132 Saint Croix Ct, Kirkwood, MO 63122 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Louis W Vandeloecht | 229 Greenbriar Estates, Kirkwood, MO 63122 | Architect | 2019-08-01 ~ 2020-07-31 |
| Clayton Engr | 123 Peeke Ave, Kirkwood, MO 63122 | Professional Engineer | 1989-05-08 ~ 1990-01-31 |
| Robert E Lischer · Mallinckrodt Inc | 1054 Glenford Ct, Kirkwood, MO 63122 | Professional Engineer | 1989-02-03 ~ 1990-01-31 |
| Timothy P Cleary | 434 Caroline Ave, Kirkwood, MO 63122-5613 | Registered Nurse | 2012-08-09 ~ 2013-05-31 |
| Kirsten L Raeber | 2136 Briargate Ln, Kirkwood, MO 63122-5140 | Physical Therapist | 2012-01-01 ~ 2012-12-31 |
| Erin F Tucker | 122 W Glenwood Ln, Kirkwood, MO 63122-5122 | Registered Nurse | 2012-10-01 ~ 2013-02-03 |
| Belinda Mileur | 507 South Clay Avenue, Kirkwood, MO 63122 | Registered Nurse | 1988-02-01 ~ 1989-01-31 |
| Find all Licenses in KIRKWOOD | |||
| City | KIRKWOOD |
| Zip Code | 13795 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KIRKWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shana Mencher | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shana Elizabeth Gleeson | 8 Chestnut St, Branford, CT 06405-3749 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shana Francelle Straub | 145 Cooper Ave, Apt 8, Weatogue, CT 06089 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| R S Briggs Md | 138 Clark Rd, Litchfield, CT 06759 | Physician/surgeon | 2006-12-21 ~ 2007-12-31 |
| Ann O Massion Md | 157 Clark St, Worcester, MA 01606 | Physician/surgeon | 2002-04-16 ~ 2003-05-31 |
| Michael K Mccloud Md | 2 Clark Dr #322, San Mateo, CA 94401 | Physician/surgeon | 1998-12-28 ~ 2000-02-29 |
| Todd A Silberstein Do | 198 Clark Ave, Branford, CT 06405 | Physician/surgeon | 2006-12-28 ~ 2007-12-31 |
| Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
| Denise Clark | 1 North Ln, Albany, NY 12211-1629 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on SHANA S. 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).