MARK M MELENDEZ (Credential# 1165798) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARK M MELENDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052225. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 4 Corporate Drive, Shelton, CT 06484. The current status is active.
| Licensee Name | MARK M MELENDEZ |
| Credential ID | 1165798 |
| Credential Number | 1.052225 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Corporate Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2013-07-12 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1167211 | CSP.0054804 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 Corporate Drive |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nelson T Chao | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Philip Hemmers | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anthony W D'souza | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Loretta Hallock | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kathryn N. Thompson | 4 Corporate Drive, Shelton, CT 06484 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Lenore M Snowden Snowden Opalak | 4 Corporate Drive, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael R O'reilly | 4 Corporate Drive, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard E Carroll | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Katherine A Reese Md | 4 Corporate Drive, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gmac Mortgage Corporation | 4 Corporate Drive, Shelton, CT 06484 | Real Estate Broker | 2007-04-01 ~ 2008-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge A Melendez | 4540 N Armenia Ave, Tampa, FL 33603-2741 | Physician/surgeon | 1975-06-20 ~ 1976-08-31 |
| Jody M Melendez | 43 Weatherly Trail, Guilford, CT 06547 | Physician/surgeon | 2000-02-25 ~ 2001-04-30 |
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Sunny E Melendez · Melendez | 4 Mountain Ridge Ter Apt 111, New Haven, CT 06513-4750 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Hugo Melendez · Tile Melendez | 125 Herkimer St, Bridgeport, CT 06604 | Home Improvement Contractor | 2013-09-17 ~ 2014-11-30 |
| Mark L Fox | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5200 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Mark L Friedman | Po Box 298, Newbury, NH 03255-0298 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark Dam | 15 Barringer Rd, Darien, CT 06820-2012 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark J Harary Md | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Please comment or provide details below to improve the information on MARK M MELENDEZ.
| 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).