BONNIE CAMPBELL (Credential# 1487610) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 19, 2017. The license expiration date date is June 18, 2021. The license status is ACTIVE.
BONNIE CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057328-RES. The credential type is resident physician. The effective date is June 19, 2017. The expiration date is June 18, 2021. The business address is 114 Woodland Dr, Hartford, CT 06105-1203. The current status is active.
| Licensee Name | BONNIE CAMPBELL |
| Credential ID | 1487610 |
| Credential Number | 1.057328-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
114 Woodland Dr Hartford CT 06105-1203 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-19 |
| Effective Date | 2017-06-19 |
| Expiration Date | 2021-06-18 |
| Refresh Date | 2018-02-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1435070 | CSP.0066124 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 114 WOODLAND DR |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zanique Monique Jones | 164 Woodland Dr, Hartford, CT 06105-1203 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Coretta Gatling | 166 Woodland Dr, Hartford, CT 06105-1203 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Bonnie Gibbs | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-31 ~ 2019-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Antonio Costantino | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Kristin M Stawiarski | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Mckenna Ray Campbell-potter | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Melissa Mercedes Campbell | 9055 Sw 73 Court, Miami, FL 33156 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Allison Campbell | Yale New Haven Hospital, Tompkins 226, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Sarah J Campbell | 464 Congress Avenue, Suite 260, New Haven, CT 06519 | Resident Physician Assistant | 2018-05-28 ~ 2019-12-31 |
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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).