REBECCA A BUNNELL PA
Controlled Substance Registration for Practitioner


Address: 4610 Learned Sage, Ellicott City, MD 21042-5932

REBECCA A BUNNELL PA (Credential# 374423) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 4, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

REBECCA A BUNNELL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035241. The credential type is controlled substance registration for practitioner. The effective date is March 4, 2008. The expiration date is February 28, 2009. The business address is 4610 Learned Sage, Ellicott City, MD 21042-5932. The current status is inactive.

Basic Information

Licensee Name REBECCA A BUNNELL PA
Credential ID 374423
Credential Number CSP.0035241
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4610 Learned Sage
Ellicott City
MD 21042-5932
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-30
Effective Date 2008-03-04
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 4610 LEARNED SAGE
City ELLICOTT CITY
State MD
Zip Code 21042-5932

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Heather K Dull 4269 Buckskinwood Dr, Ellicott City, MD 21042 Real Estate Salesperson 2007-06-01 ~ 2008-05-31
Michael J Steinberg 4760 Leyden Way, Ellicott City, MD 21042 Pharmacist 2014-02-01 ~ 2016-01-31
William H Allen 10310 Cromwell Ct, Ellicott City, MD 21042 Professional Engineer 1997-07-02 ~ 1998-01-31
Manol Andonyadis 4747 Hallowed Stream, Ellicott City, MD 21042 Professional Engineer 1800-12-27 ~ 1994-01-31
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Competitor

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City ELLICOTT CITY
Zip Code 21042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLICOTT CITY

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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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