MELISSA HAZLITT (Credential# 1233601) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 16, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MELISSA HAZLITT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057971. The credential type is controlled substance registration for practitioner. The effective date is September 16, 2019. The expiration date is February 28, 2021. The business address is 45 Reade Place, Poughkeepsie, NY 12601. The current status is active.
| Licensee Name | MELISSA HAZLITT |
| Credential ID | 1233601 |
| Credential Number | CSP.0057971 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
45 Reade Place Poughkeepsie NY 12601 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-15 |
| Effective Date | 2019-09-16 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425164 | 1.056700 | Physician/Surgeon | 2017-07-19 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 1491741 | 1.059476-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 45 Reade Place |
| City | Poughkeepsie |
| State | NY |
| Zip Code | 12601 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan Mcknight | 45 Reade Place, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Laszlo Csury | 45 Reade Place, Poughkeepsie, NY 12601 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Hossam H Hafez | 45 Reade Place, Poughkeepsie, NY 12601 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 12601 | |||
| City | Poughkeepsie |
| Zip Code | 12601 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Poughkeepsie |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa J Dunleavy | Po Box 89, Oneco, CT 06373-0089 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Melissa Joy | 13 Coult Ln, Old Lyme, CT 06371-1105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa E Ing Dmd | 119 Old Stage, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Melissa Mastroianni | 105 Wesley Dr, Shelton, CT 06484-5248 | Controlled Substance Registration for Practitioner | ~ |
| Melissa J Hamilton | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2015-03-07 ~ 2017-02-28 |
| Melissa R Held | 20 Old Yankee Way, Durham, CT 06422-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa L Williams | 66 Long Aly, Palenville, NY 12463-2326 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Melissa M Klaus | 511 Hearthstone Dr, Windsor, CT 06095-1640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Jenkins Lee | 228 E Bass Ln, Suffield, CT 06078-1956 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Melissa Gambaccini | 10 Garden St, Branford, CT 06405-4611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MELISSA HAZLITT.
| 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).