MELISSA U. NELSON MD
Controlled Substance Registration for Practitioner


Address: 173 Grand Ave Fl 3, Providence, RI 02905-3909

MELISSA U. NELSON MD (Credential# 992257) 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.

Business Overview

MELISSA U. NELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049920. 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 173 Grand Ave Fl 3, Providence, RI 02905-3909. The current status is inactive.

Basic Information

Licensee Name MELISSA U. NELSON MD
Credential ID 992257
Credential Number CSP.0049920
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 173 Grand Ave Fl 3
Providence
RI 02905-3909
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-08-12
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
992054 1.049790 Physician/Surgeon 2011-05-02 2011-05-02 - 2012-05-31 INACTIVE

Office Location

Street Address 173 GRAND AVE FL 3
City PROVIDENCE
State RI
Zip Code 02905-3909

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Competitor

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City PROVIDENCE
Zip Code 02905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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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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