MISTY D MELENDI
Controlled Substance Registration for Practitioner


Address: 745 Osborn Road, Naugatuck, CT 06770

MISTY D MELENDI (Credential# 479489) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MISTY D MELENDI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042303. The credential type is controlled substance registration for practitioner. The effective date is March 22, 2008. The expiration date is February 28, 2009. The business address is 745 Osborn Road, Naugatuck, CT 06770. The current status is inactive.

Basic Information

Licensee Name MISTY D MELENDI
Credential ID 479489
Credential Number CSP.0042303
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 745 Osborn Road
Naugatuck
CT 06770
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-30
Effective Date 2008-03-22
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 745 OSBORN ROAD
City NAUGATUCK
State CT
Zip Code 06770

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Competitor

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City NAUGATUCK
Zip Code 06770
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NAUGATUCK

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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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