MATTHEW J BONANNO MD
Controlled Substance Registration for Practitioner


Address: 215 East 77th Street, New York, NY 10021

MATTHEW J BONANNO MD (Credential# 339334) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 19, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

MATTHEW J BONANNO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033561. The credential type is controlled substance registration for practitioner. The effective date is May 19, 2003. The expiration date is February 28, 2004. The business address is 215 East 77th Street, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name MATTHEW J BONANNO MD
Credential ID 339334
Credential Number CSP.0033561
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 215 East 77th Street
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-05-19
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Office Location

Street Address 215 EAST 77TH STREET
City NEW YORK
State NY
Zip Code 10021

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City NEW YORK
Zip Code 10021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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