MELISSA MERCEDES CAMPBELL (Credential# 1490609) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MELISSA MERCEDES CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058711-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 9055 Sw 73 Court, Miami, FL 33156. The current status is active.
| Licensee Name | MELISSA MERCEDES CAMPBELL |
| Credential ID | 1490609 |
| Credential Number | 1.058711-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
9055 Sw 73 Court Miami FL 33156 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1403944 | CSP.0064831 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1402702 | 1.057071 | Physician/Surgeon | 2017-09-27 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 9055 SW 73 Court |
| City | Miami |
| State | FL |
| Zip Code | 33156 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devinder Singh Md | 11390 Four Fillies Road, Miami, FL 33156 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Justin J Polga Md | 7540 Sw 126th Street, Pinecrest, FL 33156 | Controlled Substance Registration for Practitioner | 2017-04-14 ~ 2019-02-28 |
| Reymundo J Miranda | 8211 Sw 111 Terr, Miami, FL 33156 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Gloria G York | 10590 Sw 77 Ave, Miami, FL 33156 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Paul Richard Gershen · Gershen Associates Pa | 13357 Sw 59th Ave, Miami, FL 33156 | Architect | 2016-02-02 ~ 2016-07-31 |
| H J Ross Associates | 120 Leucadendra, Coral Gables, FL 33156 | Professional Engineer | 1986-02-03 ~ 1987-01-31 |
| Gerald Zadikoff | 6540 Sw 131 Street, Miami, FL 33156 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
| Burger King / Mclamore Foundation Inc. | 9300 S. Dadeland Blvd, 1st Floor, Miami, FL 33156 | Public Charity | 2007-06-01 ~ 2008-05-31 |
| Arthur L Waldman Md | 7512 Sw 102 St, Pinecrest, FL 33156 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Elmer F Fisher | 9355 Balada St., Coral Cables, FL 33156 | Certified Public Accountant Certificate | ~ |
| Find all Licenses in zip 33156 | |||
| City | Miami |
| Zip Code | 33156 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Miami |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bonnie Campbell | 114 Woodland Dr, Hartford, CT 06105-1203 | Resident Physician | 2017-06-19 ~ 2021-06-18 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Antonio Costantino | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Kristin M Stawiarski | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Mckenna Ray Campbell-potter | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Allison Campbell | Yale New Haven Hospital, Tompkins 226, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Sarah J Campbell | 464 Congress Avenue, Suite 260, New Haven, CT 06519 | Resident Physician Assistant | 2018-05-28 ~ 2019-12-31 |
| Melissa Thomas | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
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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).