MELINDA M WOLTER OD
Controlled Substance Registration for Practitioner


Address: 75 Hockanum Blvd 933, Vernon, CT 06066

MELINDA M WOLTER OD (Credential# 384849) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

MELINDA M WOLTER OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036524. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 75 Hockanum Blvd 933, Vernon, CT 06066. The current status is inactive.

Basic Information

Licensee Name MELINDA M WOLTER OD
Credential ID 384849
Credential Number CSP.0036524
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Hockanum Blvd 933
Vernon
CT 06066
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-28
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
763274 3.002646 Optometrist 2004-07-01 2006-10-23 - 2007-12-31 INACTIVE

Office Location

Street Address 75 HOCKANUM BLVD 933
City VERNON
State CT
Zip Code 06066

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Competitor

Search similar business entities

City VERNON
Zip Code 06066
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON

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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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