MELANIE F ESTRELLA
Controlled Substance Registration for Practitioner


Address: 16 Henry St, Manchester, CT 06042-3523

MELANIE F ESTRELLA (Credential# 1286799) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MELANIE F ESTRELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060332. The credential type is controlled substance registration for practitioner. The effective date is May 27, 2015. The expiration date is February 28, 2017. The business address is 16 Henry St, Manchester, CT 06042-3523. The current status is inactive.

Basic Information

Licensee Name MELANIE F ESTRELLA
Credential ID 1286799
Credential Number CSP.0060332
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Henry St
Manchester
CT 06042-3523
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-05-27
Effective Date 2015-05-27
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 16 HENRY ST
City MANCHESTER
State CT
Zip Code 06042-3523

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Kayla C Gullo 42 Milford Rd., Manchester, CT 06042-3523 Licensed Practical Nurse 2019-12-01 ~ 2020-11-30
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Competitor

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City MANCHESTER
Zip Code 06042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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