MELINDA J FOWLER LNM
Controlled Substance Registration for Practitioner


Address: 10330 Swift Stream Pl Apt 209, Columbia, MD 21044-4874

MELINDA J FOWLER LNM (Credential# 530157) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 17, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MELINDA J FOWLER LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045374. The credential type is controlled substance registration for practitioner. The effective date is April 17, 2009. The expiration date is February 28, 2011. The business address is 10330 Swift Stream Pl Apt 209, Columbia, MD 21044-4874. The current status is inactive.

Basic Information

Licensee Name MELINDA J FOWLER LNM
Credential ID 530157
Credential Number CSP.0045374
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10330 Swift Stream Pl Apt 209
Columbia
MD 21044-4874
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-17
Effective Date 2009-04-17
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
694839 16.000331 Licensed Nurse Midwife 2009-03-12 2009-03-12 - 2009-12-31 INACTIVE
592226 10.088224 Registered Nurse 2009-03-12 2009-03-12 - 2009-12-31 INACTIVE

Office Location

Street Address 10330 SWIFT STREAM PL APT 209
City COLUMBIA
State MD
Zip Code 21044-4874

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Competitor

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City COLUMBIA
Zip Code 21044
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLUMBIA

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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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