MADELINE ANNE MENDEZ
Controlled Substance Registration for Practitioner


Address: 330 Delavan Ave Fl 2, Greenwich, CT 06830-5947

MADELINE ANNE MENDEZ (Credential# 1618620) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 5, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MADELINE ANNE MENDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069948. The credential type is controlled substance registration for practitioner. The effective date is December 5, 2018. The expiration date is February 28, 2021. The business address is 330 Delavan Ave Fl 2, Greenwich, CT 06830-5947. The current status is active.

Basic Information

Licensee Name MADELINE ANNE MENDEZ
Credential ID 1618620
Credential Number CSP.0069948
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 330 Delavan Ave Fl 2
Greenwich
CT 06830-5947
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-12-05
Effective Date 2018-12-05
Expiration Date 2021-02-28
Refresh Date 2018-12-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1605419 47.004486 Veterinarian 2018-11-26 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 330 DELAVAN AVE FL 2
City GREENWICH
State CT
Zip Code 06830-5947

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Melissa Paula Souza 324 Delavan Ave, Greenwich, CT 06830-5947 Family Child Care Substitute 2019-10-15 ~ 2021-10-31
Aaron L Resnick 302 Delavan Ave # C, Greenwich, CT 06830-5947 Emergency Medical Responder 2015-08-11 ~ 2018-04-01

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Competitor

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City GREENWICH
Zip Code 06830
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

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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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