ROBIN BONOMI
Resident Physician


Address: 65 Mattison Dr, Concord, MA 01742-4138

ROBIN BONOMI (Credential# 2042437) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2024. The license status is ACTIVE.

Business Overview

ROBIN BONOMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065402-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2024. The business address is 65 Mattison Dr, Concord, MA 01742-4138. The current status is active.

Basic Information

Licensee Name ROBIN BONOMI
Credential ID 2042437
Credential Number 1.065402-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 65 Mattison Dr
Concord
MA 01742-4138
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-06-11
Effective Date 2020-06-11
Expiration Date 2024-06-30
Refresh Date 2020-05-05

Other licenses

ID Credential Code Credential Type Issue Term Status
2042823 CSP.0073923 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-05-07 2020-05-07 - 2021-02-28 ACTIVE
887464 70.011044 Emergency Medical Technician 2009-07-23 2010-11-10 - 2013-09-30 INACTIVE
888552 70 Emergency Medical Technician - PENDING

Office Location

Street Address 65 MATTISON DR
City CONCORD
State MA
Zip Code 01742-4138

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Robin A Edwards 65 Mattison Dr, Concord, MA 01742-4138 Emergency Medical Technician ~

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Anatoly M Sukharsky 100 Partridge Lane, Concord, MA 01742 Physician/surgeon 2020-05-01 ~ 2021-04-30
American Promise Education Fund Inc 33 Bradford Street, Concord, MA 01742 Public Charity 2020-03-03 ~ 2020-11-30
Holly Mara 83 Indian Pipe Ln, Concord, MA 01742 Registered Nurse 2018-12-01 ~ 2019-11-30
Mary B Butts 151 Peter Spring Road, Concord, MA 01742 Registered Nurse 2018-12-01 ~ 2019-11-30
Marc C Dummit Md 1491 Main Street, Concord, MA 01742 Physician/surgeon 2020-03-01 ~ 2021-02-28
Samuel Goos 54 Baker Avenue Ext, Suite 305, Concord, MA 01742 Physician/surgeon 2020-01-31 ~ 2020-08-31
Daniel C Stapleton 20 Conant Street, Concord, MA 01742 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City CONCORD
Zip Code 01742
License Type Resident Physician
License Type + County Resident Physician + CONCORD

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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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