MELISSA I GARGANO
Controlled Substance Registration for Practitioner


Address: 34 Avon Rd, Branford, CT 06405-2521

MELISSA I GARGANO (Credential# 902029) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MELISSA I GARGANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046934. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 34 Avon Rd, Branford, CT 06405-2521. The current status is active.

Basic Information

Licensee Name MELISSA I GARGANO
Credential ID 902029
Credential Number CSP.0046934
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 34 Avon Rd
Branford
CT 06405-2521
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-11-19
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
900125 23.002343 Physician Assistant 2009-10-19 2019-09-01 - 2020-08-31 ACTIVE
776101 48.003267 Occupational Therapist 2006-07-17 2015-08-01 - 2017-07-31 INACTIVE

Office Location

Street Address 34 AVON RD
City BRANFORD
State CT
Zip Code 06405-2521

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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