BONNIE L HIATT MD (Credential# 1027235) 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.
BONNIE L HIATT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051143. 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 27 Indigo Trl, Madison, CT 06443-1960. The current status is active.
| Licensee Name | BONNIE L HIATT MD |
| Credential ID | 1027235 |
| Credential Number | CSP.0051143 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Indigo Trl Madison CT 06443-1960 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1001490 | 1.050140 | Physician/Surgeon | 2011-07-18 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 27 INDIGO TRL |
| City | MADISON |
| State | CT |
| Zip Code | 06443-1960 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erik Bee | 45 Bonnie Dr, Farmington, CT 06032-3052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bonnie B Woo Md | 91 East Ave Ste 3, Norwalk, CT 06851-5020 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bonnie Mcgee Md | Po Box 5206, Pinehurst, NC 28374 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Bonnie A Lender Pa-c | 40 Garden St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruibo Wang | 44 Bonnie Dr, Farmington, CT 06032-2041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bonnie Wreschner Md | 11 Grimes Road, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bonnie M Mora Dds | 11 Sailcrest, Newport Coast, CA 92657-1800 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Dawn R Wehrum Lnm | 114 Bonnie Brook Ct, Aberdeen, NC 28315-3105 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bonnie Kimmel | 16 Willard St 1st Floor, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Bonnie Piascyk | 1104 Durham Road, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-25 ~ 2021-02-28 |
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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).