EDWARD R MELNICK (Credential# 918169) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
EDWARD R MELNICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048773. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 464 Congress Ave Ste 260, New Haven, CT 06519-1362. The current status is active.
| Licensee Name | EDWARD R MELNICK |
| Credential ID | 918169 |
| Credential Number | 1.048773 |
| Credential Type | Physician/Surgeon |
| Business Address |
464 Congress Ave Ste 260 New Haven CT 06519-1362 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-24 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 934799 | CSP.0047745 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 464 CONGRESS AVE STE 260 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1362 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Rambus Md | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Emergency Medical Technician | 2019-04-18 ~ 2022-03-31 |
| Kevin Burns | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Ani Aydin | 464 Congress Ave Ste 260, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adriana Coleska | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Beatriz Isabel Sanchez Rodriguez | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-28 ~ 2021-03-31 |
| Jean M Kulas | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Danielle Lori Levine | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2020-05-06 ~ 2021-02-28 |
| Breana Lyn Brehm | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2020-04-10 ~ 2021-02-28 |
| Rachel B Liu | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christine M Ngaruiya | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avrohn Newton Melnick | 49 Pershing Rd, Boston, MA 02130-2015 | Physician/surgeon | 1975-11-18 ~ 1983-03-31 |
| Simon Melnick | 2306 Throop Ave, 2nd Floor, Bronx, NY 10469 | Physician/surgeon | 2000-04-07 ~ 2000-09-30 |
| David Alan Melnick | 33 Maltby Street, Branford, CT 06405 | Physician/surgeon | 1981-08-21 ~ 1983-02-28 |
| Paul A Melnick Jr · Melnick Metal Works Inc | 415 Washington St, Forestville, CT 06010 | Limited Sheet Metal Contractor | 2019-09-01 ~ 2020-08-31 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
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| 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).