JACQUELINE A BONANNO
Controlled Substance Registration for Practitioner


Address: 524 E 20th St Apt 8c, New York, NY 10009-1307

JACQUELINE A BONANNO (Credential# 1287074) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 28, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JACQUELINE A BONANNO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060374. The credential type is controlled substance registration for practitioner. The effective date is May 28, 2015. The expiration date is February 28, 2017. The business address is 524 E 20th St Apt 8c, New York, NY 10009-1307. The current status is inactive.

Basic Information

Licensee Name JACQUELINE A BONANNO
Credential ID 1287074
Credential Number CSP.0060374
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 524 E 20th St Apt 8c
New York
NY 10009-1307
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-05-28
Effective Date 2015-05-28
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1276477 2.011376 Dentist 2015-04-16 2014-11-01 - 2015-10-31 INACTIVE

Office Location

Street Address 524 E 20TH ST APT 8C
City NEW YORK
State NY
Zip Code 10009-1307

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Competitor

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City NEW YORK
Zip Code 10009
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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