DANE ALEXANDREA MELLAD (Credential# 1799278) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 16, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANE ALEXANDREA MELLAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072619. The credential type is controlled substance registration for practitioner. The effective date is October 16, 2019. The expiration date is February 28, 2021. The business address is 25 Deerfield St, Norwalk, CT 06854-4005. The current status is active.
| Licensee Name | DANE ALEXANDREA MELLAD |
| Credential ID | 1799278 |
| Credential Number | CSP.0072619 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Deerfield St Norwalk CT 06854-4005 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-16 |
| Effective Date | 2019-10-16 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1531630 | 23.004216 | Physician Assistant | 2018-08-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 25 DEERFIELD ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-4005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dane A Mellad | 25 Deerfield St, Norwalk, CT 06854-4005 | Emergency Medical Technician | 2014-07-07 ~ 2017-07-01 |
| Darien Taxi | 25 Deerfield St, Norwalk, CT 06854 | Operator of Weighing & Measuring Devices | 2001-08-31 ~ 2002-07-31 |
| Troy M Davis | 25 Deerfield St, Norwalk, CT 06854-4005 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren E Vento Pa-c | 19 Deerfield St, Norwalk, CT 06854-4005 | Physician Assistant | 2010-08-01 ~ 2011-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Benitez | 190 Ely Ave., Norwalk, CT 06854 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jessica Christina Andraszek | 7a Edgewood St, Norwalk, CT 06854 | Registered Nurse | ~ |
| Farrah Marin | 63 Bayview Avenue, Norwalk, CT 06854 | Master's Level Social Worker | ~ |
| Irma M Ross | 30 Lenox Ave, Norwalk, CT 06854 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Community Plates Inc. | 165 Water Street, Norwalk, CT 06854 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Roberto Arzuaga · West Cedar Grocery | 155 West Cedar St, Norwalk, CT 06854 | Grocery Beer | 2020-07-17 ~ 2021-07-16 |
| Faith Kiriakidis | 130 Flax Hill Road, Norwalk, CT 06854 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Andrew Gotlin | 1 North Water Street, Norwalk, CT 06854 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shunxia Guan | 360 Connecticut Ste 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Zhenyu Quan | 360 Connecticut Ave Suit 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06854 | |||
| City | NORWALK |
| Zip Code | 06854 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dane A Mellad | 25 Deerfield St, Norwalk, CT 06854-4005 | Emergency Medical Technician | 2014-07-07 ~ 2017-07-01 |
| Samantha Dane | 2 Stelmack Rd, Derby, CT 06418-2513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dane H Slentz | 1869 Chapel St Apt 2, New Haven, CT 06515-2209 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Dane Vecchitto | 28 Wall St, Meriden, CT 06450 | Home Improvement Contractor | ~ 1995-05-01 |
| Dane A Russo · Dane Allan Russo | 52 Rosemary Ln, Newington, CT 06111 | Home Improvement Contractor | ~ 1995-04-01 |
| Themistos & Dane, P.C. | 1736 Ellington Rd, South Windsor, CT 06704 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Dane Framing LLC | 45 East Street, Bethlehem, CT 06751 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| John & Alexandrea Papp | 295 Juniper Ridge Rd., Waterbury, CT 06708 | Honey Bee Registration | 2016-01-01 ~ 2017-12-31 |
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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).