MATTHEW J BONANNO
Physician/surgeon


Address: Medical Office, New York, NY 10075

MATTHEW J BONANNO (Credential# 558604) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2015. The license expiration date date is March 31, 2016. The license status is INACTIVE.

Business Overview

MATTHEW J BONANNO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041021. The credential type is physician/surgeon. The effective date is April 1, 2015. The expiration date is March 31, 2016. The business address is Medical Office, New York, NY 10075. The current status is inactive.

Basic Information

Licensee Name MATTHEW J BONANNO
Credential ID 558604
Credential Number 1.041021
Credential Type Physician/Surgeon
Business Address Medical Office
New York
NY 10075
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-12-18
Effective Date 2015-04-01
Expiration Date 2016-03-31
Refresh Date 2016-07-04

Office Location

Street Address MEDICAL OFFICE
City NEW YORK
State NY
Zip Code 10075

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I Rand Rodgers Md 229 East 79th St, New York City, NY 10075 Physician/surgeon 2020-07-01 ~ 2021-06-30
Li C Pei 151 East 79th St, New York, NY 10075 Architect 2020-05-07 ~ 2020-07-31
Laure C Aubuchon 325 East 79th Street, New York, NY 10075 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Alexandra Zavin 539 E 78th St #6i, New York, NY 10075 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Timothy Godaire 509 E 77th Street Apt 6m, New York, NY 10075 Home Improvement Salesperson 2020-03-09 ~ 2020-11-30
Emil K Heringer 511 East 80th St, New York, NY 10075 Optometrist 2020-01-01 ~ 2020-12-31
Norman Maurice Rowe 71 East 77th Street, Suite 1a, New York, NY 10075 Physician/surgeon 2020-02-29 ~ 2021-02-28
Wendee K Schildhaus 124 East 79th Street, New York, NY 10075 Marital and Family Therapist 2020-04-01 ~ 2021-03-31
Chien C Pei 225 East 79th St, New York, NY 10075 Architect 2020-01-28 ~ 2018-07-31
David R Ortiz 445 East 77th Street, New York, NY 10075 Professional Engineer 2020-02-01 ~ 2021-01-31
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City NEW YORK
Zip Code 10075
License Type Physician/Surgeon
License Type + County Physician/Surgeon + 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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