BONITA STANTON (Credential# 1344368) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is April 30, 1984. The license status is INACTIVE.
BONITA STANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021468. The credential type is physician/surgeon. The expiration date is April 30, 1984. The business address is 428 Columbus Ave, New Haven, CT 06519-1233. The current status is inactive.
| Licensee Name | BONITA STANTON |
| Credential ID | 1344368 |
| Credential Number | 1.021468 |
| Credential Type | Physician/Surgeon |
| Business Address |
428 Columbus Ave New Haven CT 06519-1233 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1979-06-20 |
| Expiration Date | 1984-04-30 |
| Refresh Date | 2016-04-08 |
| Street Address | 428 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Hill Health Corporation · Hill Health Center Pharmacy | 428 Columbus Ave, New Haven, CT 06519 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Pamela Susan Schreiber | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bevan K Hollingsworth | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott - Hill Health Center Pharmacy | 428 Columbus Ave, New Haven, CT 06519-1233 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Dana Ramsey Lnm | 428 Columbus Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Melissa S Lagoy Cnm | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Hill Health Center | 428 Columbus Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1995-09-27 ~ 1997-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucy Evelyn Wojcicki | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Adult Psychiatric Clinic/child and Family Guidance Clinic | 400 Columbus Ave, New Haven, CT 06519-1233 | Substance Abuse | 2019-04-01 ~ 2021-03-31 |
| Margo Louise Fugate | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary E. Fazzone | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott-hill Health Center | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Max Jean-gilles | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 1984-06-19 ~ 1987-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Carl M Wright Jr | 73 White Street, New Haven, CT 06519 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Giuseppe Guaitoli | 9776 Bonita Beach Rd, Bonita Springs, FL 34135 | Physician/surgeon | 2008-03-18 ~ 2009-05-31 |
| Bonita H Siegel | 210 Saint James Pl, Brooklyn, NY 11238 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Kevin M Johnson Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kirsten G Engel | 12 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2007-03-28 ~ 2008-04-30 |
| Stanton C Honig | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Laura J Horvath Md | 19 Stanton Ct, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Thomas G Webber | 26300 Hickory Blvd, Bonita Springs, FL 34134 | Physician/surgeon | 2006-04-04 ~ 2007-05-31 |
| Sherry F Stanton | 50 East 89 Street, New York, NY 10128 | Physician/surgeon | 2003-04-28 ~ 2004-04-30 |
| Stanton H Avitabile | 28 Cutter Lane, Glastonbury, CT 06033 | Physician/surgeon | 2007-02-21 ~ 2008-04-30 |
| Alicia M Stanton | 90 Jonquil Lane, Longmeadow, MA 01106 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
Please comment or provide details below to improve the information on BONITA STANTON.
| 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).