JORGE L. BONILLA (Credential# 1210458) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 9, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JORGE L. BONILLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056816. The credential type is controlled substance registration for practitioner. The effective date is March 9, 2015. The expiration date is February 28, 2017. The business address is Po Box 807, Mayaguez, 00681-0807. The current status is inactive.
| Licensee Name | JORGE L. BONILLA |
| Credential ID | 1210458 |
| Credential Number | CSP.0056816 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 807 Mayaguez 00681-0807 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-03-07 |
| Effective Date | 2015-03-09 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1035205 | 1.050539 | Physician/Surgeon | 2012-01-19 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | PO BOX 807 |
| City | MAYAGUEZ |
| Zip Code | 00681-0807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucelly Mosquera Rodriguez | Po Box 118, Mayaguez, PR 00681 | Registered Nurse | 2015-12-22 ~ 2016-11-30 |
| Donna M Singh | P O Box 1627, Mayaguez, PR 00681-1627 | Registered Nurse | 2010-05-01 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Yalissa Perez-ortiz | Ensanche Ramirez De Arellano #296, Mayaguez, PR 00682 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Yumeris S De Jesus | Urb Flor Del Balle #6, Mayaguez, 00680 | Registered Nurse | ~ |
| Ingrid S Londono | 1909 Laliza, Mayaguez, PR 00682 | Registered Nurse | 2013-12-01 ~ 2014-11-30 |
| Grisell N Acosta | M M Sama #76, Mayaguez, PR 00682 | Registered Nurse | 2009-04-30 ~ 2010-04-30 |
| Efrain Rodriguez | C/o Jose Enrigue, Mayaguez, 00682 | Naturopathic Physician | 2009-03-09 ~ 2009-12-31 |
| Cerveceria India Inc | Rr #2, Mayaguez, PR 00709 | Non-alcoholic Beverage & Water Bottlers | 1997-07-01 ~ 1998-06-30 |
| City | MAYAGUEZ |
| Zip Code | 00681 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAYAGUEZ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Melissa M Bonilla Pa | 266 City Hill St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank Bonilla Leonardo | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jorge L Romeu | 816 Padova, Cibolo, TX 78108 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jorge Benitez | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jorge M Rivera | 92 Horseshoe Rd, Guilford, CT 06437-2918 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Jorge E Dotto | 152 Temple St Apt 304, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-09-09 ~ 2005-02-28 |
| Jorge E Cerna | 950 Farmington Ave Apt C28, New Britain, CT 06053-1339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jorge Leicach Md | 27 Village Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Jorge M Chaves | 100 York St Apt 6a, New Haven, CT 06511-5612 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JORGE L. BONILLA.
| 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).