POLINA M MELAMUD
Controlled Substance Registration for Practitioner


Address: 50 Lincoln Ave, West Hartford, CT 06117-2627

POLINA M MELAMUD (Credential# 1025502) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

POLINA M MELAMUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051042. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 50 Lincoln Ave, West Hartford, CT 06117-2627. The current status is active.

Basic Information

Licensee Name POLINA M MELAMUD
Credential ID 1025502
Credential Number CSP.0051042
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 Lincoln Ave
West Hartford
CT 06117-2627
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-08-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
578917 10.074913 Registered Nurse 2004-12-28 2019-12-01 - 2020-11-30 ACTIVE
1005229 12.004699 Advanced Practice Registered Nurse 2011-07-19 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 50 LINCOLN AVE
City WEST HARTFORD
State CT
Zip Code 06117-2627

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Competitor

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City WEST HARTFORD
Zip Code 06117
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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Dataset Information

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).

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