Matthew S Clark Physician/surgeon
27 Hospital Ave Ste 306, Danbury, CT 068105961


Matthew S Clark is licensed in the eLicensing system of Connecticut. The license credential ID is 1214496. The license type is Physician/Surgeon. The license status is ACTIVE. The address is 27 Hospital Ave Ste 306, Danbury, CT 068105961. The zip code is 06810.


Matthew S Clark · 27 Hospital Ave Ste 306, Danbury, CT 068105961

Credential ID 1214496
Name MATTHEW S CLARK
Type INDIVIDUAL
Address 27 HOSPITAL AVE STE 306
DANBURY, CT 068105961
License Credential Physician/Surgeon
Full Credential Code 1.053638
Credential Type 1
Credential Number 53638
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 11/04/2014
Effective Date 12/01/2015
Expiration Date 11/30/2016
Record Refresh Date 09/30/201

MATTHEW S CLARK · Connecticut Business

Matthew S Clark · Controlled Substance Registration for Practitioner 27 Hospital Ave Ste 306, Danbury, CT 068105961
Matthew S Clark · Dentist 27 Hospital Ave Ste 306, Danbury, CT 068105961
Matthew S Clark · Dental Anesthesia/conscious Sedation Permit 27 Hospital Ave Ste 306, Danbury, CT 068105961

Zip 06810 · Physician/surgeon · Connecticut Business

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