BRUCE M POTENZA
Physician/surgeon


Address: 75 Locust Street, Uxbridge, MA 01569

BRUCE M POTENZA (Credential# 552429) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 22, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

BRUCE M POTENZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034833. The credential type is physician/surgeon. The effective date is February 22, 1996. The expiration date is February 28, 1997. The business address is 75 Locust Street, Uxbridge, MA 01569. The current status is inactive.

Basic Information

Licensee Name BRUCE M POTENZA
Credential ID 552429
Credential Number 1.034833
Credential Type Physician/Surgeon
Business Address 75 Locust Street
Uxbridge
MA 01569
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-09-01
Effective Date 1996-02-22
Expiration Date 1997-02-28
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162780 CSP.0023745 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-10-17 - 1997-02-28 INACTIVE

Office Location

Street Address 75 LOCUST STREET
City UXBRIDGE
State MA
Zip Code 01569

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Competitor

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City UXBRIDGE
Zip Code 01569
License Type Physician/Surgeon
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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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