JODI V FOX-MELLUL MD (Credential# 979272) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
JODI V FOX-MELLUL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049417. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 597 Westport Ave Unit C448, Norwalk, CT 06851-4474. The current status is inactive.
| Licensee Name | JODI V FOX-MELLUL MD |
| Credential ID | 979272 |
| Credential Number | 1.049417 |
| Credential Type | Physician/Surgeon |
| Business Address |
597 Westport Ave Unit C448 Norwalk CT 06851-4474 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-12-23 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 980867 | CSP.0049521 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-25 | 2011-01-25 - 2013-02-28 | INACTIVE |
| Street Address | 597 WESTPORT AVE UNIT C448 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4474 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi-ann M Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jodi S Sassoon | 263 Corona Ave, Pelham, NY 10803-2305 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jodi Goh Md | 215 Ellington Road, Longmeadow, MA 01106 | Physician/surgeon | 2001-04-02 ~ 2002-05-31 |
| Jodi L Schielke | 3 Country Club Dr, Farmington, CT 06032-1575 | Physician/surgeon | 2013-05-22 ~ 2013-09-30 |
| Jodi M Leopold | 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Jodi M Cohen | 265 East Main Street, Branford, CT 06405 | Physician/surgeon | 1998-02-17 ~ 1999-02-28 |
| Jodi L Galaydick | 59 Olde Wagon Road, Warwick, NY 10990 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Jodi L Abramson | 220 Westchester Avenue West, White Plains, NY 10604 | Physician/surgeon | 2003-03-24 ~ 2004-03-31 |
| Steven D Mellul Do | 87 Grandview Avenue, Suite B, Waterbury, Ct, CT 06708 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jodi V Hodge Pa | 122 Neck Rd, Madison, CT 06443-2833 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).