MELANIE S COLLINS (Credential# 563852) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MELANIE S COLLINS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046270. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1100 Glendale Rd, Wilbraham, MA 01095-2339. The current status is active.
| Licensee Name | MELANIE S COLLINS |
| Credential ID | 563852 |
| Credential Number | 1.046270 |
| Credential Type | Physician/Surgeon |
| Business Address |
1100 Glendale Rd Wilbraham MA 01095-2339 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-03-03 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446473 | CSP.0039985 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1100 GLENDALE RD |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-2339 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerome J Gagliarducci Jr · Gagliarducci Construction | 1100 Glendale Rd, Wilbraham, MA 01095-2339 | Plumbing & Piping Limited Contractor | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melanie C Grossman | 10 W 66th St Apt 12g, New York, NY 10023-6208 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Melanie G Mier Md | 4 Four Wind Dr, Wilton, CT 06897-4651 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Melanie B Mund | 88 Curtis Dr, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Melanie Israelovitch | 290 3rd Avenue, # 4d, New York, NY 10010 | Physician/surgeon | 2006-06-14 ~ 2007-06-30 |
| Melanie M Montemayor | 305 W. 90th Street, Apt 2a, New York, NY 10024 | Physician/surgeon | 2009-06-01 ~ 2010-05-31 |
| Melanie Georgalas Md | 25 Constitution Blvd S, Shelton, CT 06484-4351 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Melanie L. Braganza | 3449 Sienna Hill Pl, Cary, NC 27519 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Varinder Singh Rathore | 70 Melanie Ln, Hopewell Junction, NY 12533-5566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Charles Leonard Blankenship | 6 Melanie Ln, Gales Ferry, CT 06335-1310 | Physician/surgeon | 1984-09-05 ~ 1990-03-31 |
| Melanie Royce Md | 9323 Town Walk Dr, Hamden, CT 06518 | Physician/surgeon | 1997-06-18 ~ 1998-08-31 |
Please comment or provide details below to improve the information on MELANIE S COLLINS.
| 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).