GABRIEL P BOMBINO
Controlled Substance Registration for Practitioner


Address: 14 Westmont St, West Hartford, CT 06117-2927

GABRIEL P BOMBINO (Credential# 1325847) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

GABRIEL P BOMBINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061875. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 14 Westmont St, West Hartford, CT 06117-2927. The current status is lapsed.

Basic Information

Licensee Name GABRIEL P BOMBINO
Credential ID 1325847
Credential Number CSP.0061875
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Westmont St
West Hartford
CT 06117-2927
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-12-22
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1296003 23.003403 Physician Assistant 2015-08-06 2017-04-01 - 2018-03-31 INACTIVE

Office Location

Street Address 14 WESTMONT ST
City WEST HARTFORD
State CT
Zip Code 06117-2927

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Gabrielle Syrop 6 Westmont St, West Hartford, CT 06117-2927 Occupational Therapist 2019-08-01 ~ 2021-07-31
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Elizabeth F Mcdonough 44 Westmont St, West Hartford, CT 06117-2927 Real Estate Salesperson 2014-06-01 ~ 2015-05-31

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Competitor

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City WEST HARTFORD
Zip Code 06117
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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