MELINDA RANDALL MD
Controlled Substance Registration for Practitioner


Address: 27 Sherman Lane, Hamden, CT 06514

MELINDA RANDALL MD (Credential# 284405) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MELINDA RANDALL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031246. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 27 Sherman Lane, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name MELINDA RANDALL MD
Credential ID 284405
Credential Number CSP.0031246
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 27 Sherman Lane
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
557268 1.039684 Physician/Surgeon 2001-07-03 2008-02-12 - 2009-03-31 INACTIVE

Office Location

Street Address 27 SHERMAN LANE
City HAMDEN
State CT
Zip Code 06514

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Competitor

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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