MICHELLE M EDWARDS MD (Credential# 895908) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MICHELLE M EDWARDS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046727. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 5121 8th Rd N, Arlington, VA 22205-1201. The current status is inactive.
| Licensee Name | MICHELLE M EDWARDS MD |
| Credential ID | 895908 |
| Credential Number | CSP.0046727 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5121 8th Rd N Arlington VA 22205-1201 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-09-23 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 887473 | 1.048085 | Physician/Surgeon | 2009-08-24 | 2014-01-01 - 2014-12-31 | INACTIVE |
| Street Address | 5121 8TH RD N |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-1201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Mark Mordkin | 1625 N George Mason Dr, Arlington, VA 22205 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Martin Mandelberg · General Dynamics Data Ctr | 5004 No 16th St, Arlington, VA 22205 | Professional Engineer | 1989-03-20 ~ 1990-01-31 |
| Michael A Selig | 1024 N Livingston St, Arlington, VA 22205 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Coalition for Tax Fairness | P.o. Box 9205, Arlington, VA 22205 | Public Charity | 2009-12-01 ~ 2010-05-31 |
| Timothy J Bakos | 6021 16th St N, Arlington, VA 22205 | Architect | 2010-08-01 ~ 2011-07-31 |
| American Heart Disease Prevention Foundation Inc. | 6216 N. 12th Street, Arlington, VA 22205 | Public Charity | ~ |
| Rebecca G Hubbard Aia | 6559 North 24th St, Arlington, VA 22205 | Architect | ~ 1998-07-31 |
| Martha A Olson | 2338 N Van Buren Ct, Arlington, VA 22205 | Registered Nurse | 2000-07-26 ~ 2001-09-30 |
| Robert D Fox | 904 N Lexington St, Arlington, VA 22205-1321 | Architect | 2018-08-01 ~ 2019-07-31 |
| Aelise B Green | 1100 N Inglewood St, Arlington, VA 22205-2441 | Registered Nurse | 2011-03-16 ~ 2012-02-29 |
| Find all Licenses in zip 22205 | |||
| City | ARLINGTON |
| Zip Code | 22205 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ARLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corinna Michelle Edwards Lyon | 245 S Brooksvale Rd, Cheshire, CT 06410-3513 | Controlled Substance Registration for Practitioner | 2019-07-19 ~ 2021-02-28 |
| Rachel Ng | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J D Edwards Dds | 3 Robbins Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 1993-07-16 ~ 1995-08-01 |
| Matthew B.w. Edwards | 55 Leslie Ln, Fairfield, CT 06824-1665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie A Edwards | 196 Turtle Bay Dr, Branford, CT 06405-4903 | Controlled Substance Registration for Practitioner | 2017-07-18 ~ 2019-02-28 |
| Susan Maya | 198 Edwards St Apt 3, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer S Paeske | 114 Edwards St # 1, New Haven, CT 06511-3918 | Controlled Substance Registration for Practitioner | 2013-01-15 ~ 2015-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Marko Petrovic | 100 Edwards St Apt 3a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lauren M Ullman | 256 Edwards St Apt 4, New Haven, CT 06511-3738 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).