CARLA G BRUNING (Credential# 742272) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
CARLA G BRUNING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000523. The credential type is physician assistant. The effective date is April 28, 2003. The expiration date is April 30, 2004. The business address is 98 W El Freda Road, Tempe, AZ 85284. The current status is inactive.
Licensee Name | CARLA G BRUNING |
Credential ID | 742272 |
Credential Number | 23.000523 |
Credential Type | Physician Assistant |
Business Address |
98 W El Freda Road Tempe AZ 85284 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-11-17 |
Effective Date | 2003-04-28 |
Expiration Date | 2004-04-30 |
Refresh Date | 2009-07-08 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carla G Bruning | 2 Mystic Court, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Street Address | 98 W EL FREDA ROAD |
City | TEMPE |
State | AZ |
Zip Code | 85284 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Esi Mail Pharmacy Service, Inc. · Express Scripts | 7909 S Hardy, Ste 106, Tempe, AZ 85284 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Lam T Ma | 634 E Krista Way, Tempe, AZ 85284 | Professional Engineer | 2008-02-05 ~ 2009-01-31 |
Judyann P Anderson | 1954 East Myrna La, Tempe, AZ 85284 | Registered Nurse | 1998-06-16 ~ 1999-06-30 |
Charles J Okstein | 8585 So College La, Tempe, AZ 85284 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
Joanne S Downs · Friend | 8102 S. Colldge Ave, Tempe, AZ 85284 | Registered Nurse | 1998-02-26 ~ 1998-11-30 |
Danny S Downs Md | 8102 S College Ave, Tempe, AZ 85284 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Pacific Pulmonary Services | Tempe, AZ 85284 | Nonresident Pharmacy | 2008-09-01 ~ 2009-08-31 |
Nite Foundation · San Rio Health | 8058 S Priest Dr Ste 102, Tempe, AZ 85284-1020 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-12-28 ~ 2019-06-30 |
Sharon Ogg | 1395 W Auto Dr, Tempe, AZ 85284-1026 | Occupational Therapist | 2018-07-16 ~ 2019-07-31 |
Gulnar Amlani | 7909 S Dateland Dr, Tempe, AZ 85284-1334 | Registered Nurse | 2019-11-06 ~ 2020-08-31 |
Find all Licenses in zip 85284 |
City | TEMPE |
Zip Code | 85284 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + TEMPE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James E Scliopou Pa-c | 20 Carla Ln, Wilbraham, MA 01095-1454 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
Carla Constantine Scott | 77 West 24th Street, New York, NY 10010 | Physician Assistant | ~ |
Carla A Muskatallo · Smithwick | 29 Maple Road, Portland, CT 06480 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Carla A Fleck | 1147 East St. North, Suffield, CT 06078 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
Carla Mckone | 205 October Lane, Plantsville, CT 06479 | Family Child Care Assistant | 1995-06-30 ~ 1995-06-30 |
Carla Mariel Hidalgo | 14 Warren Ter Fl 3, West Hartford, CT 06119-1839 | Family Child Care Assistant | ~ |
Carla Fusco | 27 Mischa Hill Road, Trumbull, CT 06611 | Family Child Care Assistant | 1997-07-08 ~ |
Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Carla Gergi Sawan | Apartment 5g, New York, NY 10128 | Physician/surgeon | ~ |
Carla B Marienfeld Md | 47 Squire Ln, Hamden, CT 06518-1417 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Please comment or provide details below to improve the information on CARLA G BRUNING.
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).