GRACE BUNDENS (Credential# 1488371) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GRACE BUNDENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057766-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is Uconn School of Medicine, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | GRACE BUNDENS |
| Credential ID | 1488371 |
| Credential Number | 1.057766-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
Uconn School of Medicine Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424268 | CSP.0065399 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | UCONN SCHOOL OF MEDICINE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn A Becker | Uconn School of Medicine, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Javeeria Manzoor | Uconn School of Medicine, Farmington, CT 06030-0001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sarah M Benito Figueroa | Uconn School of Medicine, Farmington, CT 06030-0001 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
| Caleb M Battersby | Uconn School of Medicine, Farmington, CT 06030-0001 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
| Evan Boyle | Uconn School of Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chay Bae | Uconn School of Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shakaib Khan | Uconn School of Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Broess | Uconn School of Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raminder Kaur Khangura | Uconn School of Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nevena Radonjic | Uconn School of Medicine, Farmington, CT 06030-2103 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Kuweruza | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2018-06-19 ~ 2021-05-07 |
| Grace Emily Dewitt | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Grace Kwon | 1000 West Carson St, Torrance, CA 90509 | Resident Physician | 2015-07-02 ~ 2021-06-30 |
| Grace E Spencer | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2022-06-30 |
| I Grace Co Inc The | 1065 North St, Greenwich, CT 06831 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Jeremiah Grace · Grace Painting | 30 Regent Terrace, Milford, CT 06497 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Grace Siman Zhu | Yale-new Haven Hospital, New Haven, CT 06510-3220 | Resident Dentist | 2020-07-01 ~ 2021-06-30 |
| Grace's Kitchen · Grace Romano | 251 West Main St, Branford, CT 06405 | Bakery | 2011-07-01 ~ 2012-06-30 |
| Grace and Ryan | 90 West Sandford Blvd, Mt Vernon, NY 10550 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Grace House | 219 Valley St, Willimantic, CT 06226-2333 | Psychiatric Outpatient Clinic | 2018-05-07 ~ 2022-03-31 |
Please comment or provide details below to improve the information on GRACE BUNDENS.
| 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).