MATTHEW B BONIN PA
Physician Assistant


Address: 18 Searle Avenue, Cranston, RI 02920

MATTHEW B BONIN PA (Credential# 742825) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.

Business Overview

MATTHEW B BONIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001076. The credential type is physician assistant. The effective date is March 22, 2002. The expiration date is March 31, 2003. The business address is 18 Searle Avenue, Cranston, RI 02920. The current status is inactive.

Basic Information

Licensee Name MATTHEW B BONIN PA
Credential ID 742825
Credential Number 23.001076
Credential Type Physician Assistant
Business Address 18 Searle Avenue
Cranston
RI 02920
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-06-08
Effective Date 2002-03-22
Expiration Date 2003-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
286638 CSP.0031376 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 18 SEARLE AVENUE
City CRANSTON
State RI
Zip Code 02920

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Johnna A Roche 36 Blaine Street, Cranston, RI 02920 Notary Public Appointment 2015-04-22 ~ 2020-04-30
Julie A Moshier 31 Casino Ave Apt #1, Cranston, RI 02920 Pharmacy Technician 2016-04-27 ~ 2017-03-31
Fawazat A Agoro 98 Hyde St, Cranston, RI 02920 Registered Nurse - Temporary 2019-12-02 ~ 2020-03-31
Joseph P Fraioli 33 Briggs St, Cranston, RI 02920 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Ronald H Chin 130 Robson St., Cranston, RI 02920 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City CRANSTON
Zip Code 02920
License Type Physician Assistant
License Type + County Physician Assistant + CRANSTON

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Leopold Bonin · Leopold Bonin Remodeling 117 Little Fawn Rd, Southington, CT 06489 Home Improvement Contractor 2001-12-01 ~ 2002-11-30
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Matthew S Bonin 1656 Rt #171, Woodstock Valley, CT 06282 New Home Construction Contractor 2018-01-18 ~ 2019-09-30
Matthew Bonin 4 Jean Drive, East Lyme, CT 06333-1540 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
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Matthew T Mitchell Pa 118 Osborne St Apt 1c, Danbury, CT 06810 Physician Assistant 2004-11-01 ~ 2005-10-31
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Matthew J Moore 55 Langdon Ct, Berlin, CT 06037-1316 Physician Assistant 2019-02-01 ~ 2020-01-31
Matthew C Singleton Pa-c 41 Rochela Dr, Southington, CT 06489-4670 Physician Assistant 2016-08-01 ~ 2017-07-31
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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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