MELISSA R STEWART
Controlled Substance Registration for Practitioner


Address: 4 Stuyvesant Oval, New York, NY 10009-2402

MELISSA R STEWART (Credential# 1315810) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MELISSA R STEWART is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061598. The credential type is controlled substance registration for practitioner. The effective date is October 22, 2015. The expiration date is February 28, 2017. The business address is 4 Stuyvesant Oval, New York, NY 10009-2402. The current status is inactive.

Basic Information

Licensee Name MELISSA R STEWART
Credential ID 1315810
Credential Number CSP.0061598
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Stuyvesant Oval
New York
NY 10009-2402
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-10-22
Effective Date 2015-10-22
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1315755 1.054718 Physician/Surgeon 2015-10-22 2015-10-22 - 2016-08-31 INACTIVE

Office Location

Street Address 4 STUYVESANT OVAL
City NEW YORK
State NY
Zip Code 10009-2402

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Felix L Ellis 4 Stuyvesant Oval, New York, NY 10009 Physician/surgeon 2002-01-31 ~ 2002-09-12
Jacob Nachum 4 Stuyvesant Oval, New York, NY 10009 Optometrist 1994-03-11 ~ 1995-02-28

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City NEW YORK
Zip Code 10009
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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