BLISS W. CLARK (Credential# 991882) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2011. The license expiration date date is December 31, 2012. The license status is INACTIVE.
BLISS W. CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050461. The credential type is physician/surgeon. The effective date is December 1, 2011. The expiration date is December 31, 2012. The business address is 3063 Remington Way, Tracy, CA 95377-6678. The current status is inactive.
| Licensee Name | BLISS W. CLARK |
| Credential ID | 991882 |
| Credential Number | 1.050461 |
| Credential Type | Physician/Surgeon |
| Business Address |
3063 Remington Way Tracy CA 95377-6678 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-12-01 |
| Effective Date | 2011-12-01 |
| Expiration Date | 2012-12-31 |
| Refresh Date | 2013-04-15 |
| Street Address | 3063 REMINGTON WAY |
| City | TRACY |
| State | CA |
| Zip Code | 95377-6678 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fisher Scientific Co LLC | 5902 Hopkings Rd - Bldg #22, Tracy, CA 95377 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Tracy L Gilman | 2855 Casey Ct, Tracy, CA 95377-7028 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Wine Group Inc (the) · The Wine Group | 4596 S Tracy Blvd, Tracy, CA 95377-8106 | Out of State Shipper Liquor | 2020-04-24 ~ 2021-04-23 |
| Ups Supply Chain Solutions Inc | 5849 W Schulte Rd Ste 107, Tracy, CA 95377-8134 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Ambrose Bezar | 1641 W Beverly Pl, Tracy, CA 95376-3246 | Registered Nurse | 2020-02-20 ~ 2020-11-30 |
| Elizabeth D Riccio | 1103 Old Colony Road, Tracy, CT 00000 | Notary Public Appointment | 1968-01-01 ~ 1972-03-31 |
| Robert C Fulkerson · Kinetic Systems Inc | 870 Kings Canyon Ct, Tracy, CA 95376-9611 | Plumbing & Piping Unlimited Contractor | 2019-10-22 ~ 2020-10-31 |
| Francesca A Smith | 220 W 10th St, Tracy, CA 95376-3932 | Engineer-in-training | 2008-06-10 ~ 2018-06-10 |
| John A Papale Sr | 1265 Old Colony Rd, Tracy, CT 06492 | Crane Operator | 1990-10-01 ~ 1992-09-30 |
| Ritah W Waweru | 1391 Heatherfield Way, Tracy, CA 95376-5390 | Registered Nurse | 2012-06-01 ~ 2013-05-31 |
| Adrianne M Cote | 195 Mt Eden Cir, Tracy, CA 95376 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Gloria J Schermerhorn | 1337 Mansfield St, Tracy, CA 95376 | Hairdresser/cosmetician | 1997-09-02 ~ 1998-08-31 |
| City | TRACY |
| Zip Code | 95377 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRACY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul A. Koerner | 24 Bliss Rd, Longmeadow, MA 01106-1420 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Bliss Yoon | 130 Hartford Rd, Manchester, CT 06040-5921 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bliss Market · Bliss Market Inc | 675 Wolcott Hill Rd, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2014-03-24 ~ 2014-07-31 |
| Bliss Management Co LLC | 37 Split Level Rd, Ridgefield, CT 06877-5716 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Ann O Massion Md | 157 Clark St, Worcester, MA 01606 | Physician/surgeon | 2002-04-16 ~ 2003-05-31 |
| R S Briggs Md | 138 Clark Rd, Litchfield, CT 06759 | Physician/surgeon | 2006-12-21 ~ 2007-12-31 |
| Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carolyn A Clark Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Denise Clark | 1 North Ln, Albany, NY 12211-1629 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Karen Clark | 444 W Baltimore Ave Apt 232, Media, PA 19063-3695 | Physician/surgeon | 2020-06-10 ~ 2021-06-30 |
Please comment or provide details below to improve the information on BLISS W. 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).