MELVYN R OSTROV
Physician/surgeon


Address: 61 Stonybrook Road, Middlebury, CT 06762

MELVYN R OSTROV (Credential# 540701) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 2, 2003. The license expiration date date is June 30, 2004. The license status is INACTIVE.

Business Overview

MELVYN R OSTROV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013363. The credential type is physician/surgeon. The effective date is June 2, 2003. The expiration date is June 30, 2004. The business address is 61 Stonybrook Road, Middlebury, CT 06762. The current status is inactive.

Basic Information

Licensee Name MELVYN R OSTROV
Credential ID 540701
Credential Number 1.013363
Credential Type Physician/Surgeon
Business Address 61 Stonybrook Road
Middlebury
CT 06762
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-03-25
Effective Date 2003-06-02
Expiration Date 2004-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
146089 CSP.0006983 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 61 Stonybrook Road
City Middlebury
State CT
Zip Code 06762

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Elise L Callahan 77 Christian Rd, Middlebury, CT 06762 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City Middlebury
Zip Code 06762
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Middlebury

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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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