MELISSA W BEINER
Physician/surgeon


Address: 65 Madison Springs Drive, Madison, CT 06443

MELISSA W BEINER (Credential# 559474) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2011. The license expiration date date is October 31, 2012. The license status is INACTIVE.

Business Overview

MELISSA W BEINER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041891. The credential type is physician/surgeon. The effective date is November 1, 2011. The expiration date is October 31, 2012. The business address is 65 Madison Springs Drive, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name MELISSA W BEINER
Credential ID 559474
Credential Number 1.041891
Credential Type Physician/Surgeon
Business Address 65 Madison Springs Drive
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-10-01
Effective Date 2011-11-01
Expiration Date 2012-10-31
Refresh Date 2013-02-06

Other licenses

ID Credential Code Credential Type Issue Term Status
360704 CSP.0034528 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-03-11 - 2005-02-28 INACTIVE

Office Location

Street Address 65 Madison Springs Drive
City Madison
State CT
Zip Code 06443

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Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
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David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City Madison
Zip Code 06443
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Madison

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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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