ROBERT J BUNDY (Credential# 545321) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT J BUNDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025147. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 112 Mansfield Avenue, Willimantic, CT 06226. The current status is active.
| Licensee Name | ROBERT J BUNDY |
| Credential ID | 545321 |
| Credential Number | 1.025147 |
| Credential Type | Physician/Surgeon |
| Business Address |
112 Mansfield Avenue Willimantic CT 06226 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1983-11-10 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156531 | CSP.0014653 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 112 MANSFIELD AVENUE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Schrader Md · Windham Community Memorial Hospital | 112 Mansfield Avenue, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 1995-06-29 ~ 1996-02-28 |
| Windham Community Memorial Hospital | 112 Mansfield Avenue, Willimantic, CT 06226 | Public Charity-exempt From Financial Requirements | ~ |
| Windham Hospital Foundation Inc. | 112 Mansfield Avenue, Willimantic, CT 06226 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasiliko Liapes · Mamas Pizza | 277 Ash Street, Willimantic, CT 06226 | Restaurant Wine & Beer | 2020-04-28 ~ 2021-08-27 |
| Janet G Ragno | 46 Fairview Street, Willimantic, CT 06226 | Nursing Home Administrator | 2020-08-01 ~ 2022-07-31 |
| Tim Devivo | 1590 W Main St, Willimantic, CT 06226 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Antonio Manuel Santos | 661 Windham Rd, Windham, CT 06226 | Tattoo Technician | 2020-06-25 ~ 2022-06-30 |
| Rent A Center East Inc · Rent A Center #05068 | 1329 Main Street, Willimantic, CT 06226 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Shaunda Baker | 90 South Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-07-12 ~ 2022-07-11 |
| Willimantic Shell | 1563 West Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Bailey | 152 Main St, Willimantic, CT 06226 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Royal Buffet | 1228 Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Builders Concrete East LLC · Windham Sand & Stone Inc | 75 N Windham Rd, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06226 | |||
| City | WILLIMANTIC |
| Zip Code | 06226 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILLIMANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanisha Bundy | 191 Whalley Ave Apt 153, New Haven, CT 06511 | Physician/surgeon | ~ |
| Bundy Hill Tree Farm | 57 Bundy Hill Rd, Lisbon, CT 06351-3204 | Nursery Registration | 2020-07-01 ~ 2021-06-30 |
| Robert L Bundy | 15 Lembo Drive, Wethersfield, CT 06109-3827 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT J BUNDY.
| 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).