MELISSA M NESDAHL PA (Credential# 388270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
MELISSA M NESDAHL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036693. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 115 Richardson Drive, Middlebury, CT 06762. The current status is inactive.
| Licensee Name | MELISSA M NESDAHL PA |
| Credential ID | 388270 |
| Credential Number | CSP.0036693 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
115 Richardson Drive Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-10-29 |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743291 | 23.001542 | Physician Assistant | 2004-10-14 | 2004-10-14 - 2005-07-31 | INACTIVE |
| Street Address | 115 RICHARDSON DRIVE |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 J Dunleavy | Po Box 89, Oneco, CT 06373-0089 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Melissa Darlington | Anesthesiology, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Melissa L Gulosh | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Melissa Nelson | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Melissa Donofrio | 66 Plains Rd, Essex, CT 06426-1501 | 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 R Held | 20 Old Yankee Way, Durham, CT 06422-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Boll Lmn | 25 Newell Rd D-28, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2004-03-04 ~ 2005-02-28 |
Please comment or provide details below to improve the information on MELISSA M NESDAHL PA.
| 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).