BETH M MELIN (Credential# 156389) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 5, 1993. The license expiration date date is January 1, 1995. The license status is INACTIVE.
BETH M MELIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015556. The credential type is controlled substance registration for practitioner. The effective date is March 5, 1993. The expiration date is January 1, 1995. The business address is 5 Diana Drive, Woodbridge, CT 06525. The current status is inactive.
| Licensee Name | BETH M MELIN |
| Credential ID | 156389 |
| Credential Number | CSP.0015556 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Diana Drive Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-03-05 |
| Expiration Date | 1995-01-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547185 | 1.028469 | Physician/Surgeon | 1987-08-21 | 1992-12-22 - 1994-01-31 | INACTIVE |
| Street Address | 5 DIANA DRIVE |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael H Bloch | 5 Diana Drive, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gilbert I Melin | 5 Diana Drive, Woodbridge, CT 06525 | Physician/surgeon | 1992-09-24 ~ 1993-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily A Melin | 150 Stagecoach Cir, Milford, CT 06460-3787 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth T Fracasso | 305 Old Ln Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth L Whitney | 123 W Center St, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth Rocchio Md | 1 Juniper Dr, E Greenwich, RI 02818 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Beth A Dean Pa-c | 67 Hildurcrest Dr, Simsbury, CT 06070-2757 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth W Rackow Md | Cwrc, New York, NY 10019 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Beth Fanning | 5 Stony Way, Avon, CT 06001-2616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth E Whiteside Md | 37 Tobey Ave, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2007-03-06 ~ 2008-02-29 |
| Beth A Pelletier | 110 Meetinghouse Ln, Middletown, CT 06457-1664 | Controlled Substance Registration for Practitioner | 2013-06-20 ~ 2015-02-28 |
| Beth Villodas | 196 East St, Stafford, CT 06076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BETH M MELIN.
| 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).