License holder summary

MELANIE KOUMENTAKOS is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for MELANIE KOUMENTAKOS is WESTFIELD, MA, 01085-4553. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

MELANIE KOUMENTAKOS
Controlled Substance Registration for Practitioners
License number
CSP.0041519
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WESTFIELD, MA, 01085-4553
ctlicensing.org
ID 359471
LAST UPDATED 2024-04-28 13:01:03 UTC

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