JULIE L BORDUA
Controlled Substance Registration for Practitioner


Address: 108 Dwight Rd, Springfield, MA 01108-3406

JULIE L BORDUA (Credential# 1303736) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 6, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JULIE L BORDUA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061229. The credential type is controlled substance registration for practitioner. The effective date is August 6, 2015. The expiration date is February 28, 2017. The business address is 108 Dwight Rd, Springfield, MA 01108-3406. The current status is inactive.

Basic Information

Licensee Name JULIE L BORDUA
Credential ID 1303736
Credential Number CSP.0061229
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 108 Dwight Rd
Springfield
MA 01108-3406
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-08-06
Effective Date 2015-08-06
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1297269 10.128584 Registered Nurse 2015-08-04 2015-10-01 - 2016-09-30 INACTIVE
1301452 12.006217 Advanced Practice Registered Nurse 2015-08-04 2015-10-01 - 2016-09-30 INACTIVE
1302060 10.128278-TEMP Registered Nurse - Temporary 2015-07-28 2015-07-28 - 2015-11-24 INACTIVE

Office Location

Street Address 108 DWIGHT RD
City SPRINGFIELD
State MA
Zip Code 01108-3406

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Frances I Moran 66 Parkedge Ave, Springfield, MA 01108 Registered Nurse 2020-08-01 ~ 2021-07-31
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Alice F Thomas 91 Audubon St, Springfield, MA 01108 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City SPRINGFIELD
Zip Code 01108
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD

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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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