MELISSA M BONILLA PA (Credential# 397596) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MELISSA M BONILLA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037090. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 266 City Hill St, Naugatuck, CT 06770. The current status is active.
| Licensee Name | MELISSA M BONILLA PA |
| Credential ID | 397596 |
| Credential Number | CSP.0037090 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
266 City Hill St Naugatuck CT 06770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-03-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743338 | 23.001589 | Physician Assistant | 2005-01-21 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 266 CITY HILL ST |
| City | NAUGATUCK |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06770 | |||
| City | NAUGATUCK |
| Zip Code | 06770 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NAUGATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge L. Bonilla | Po Box 807, Mayaguez, 00681-0807 | Controlled Substance Registration for Practitioner | 2015-03-09 ~ 2017-02-28 |
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Frank Bonilla Leonardo | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Melissa E Ing Dmd | 119 Old Stage, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Melissa Joy | 13 Coult Ln, Old Lyme, CT 06371-1105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa J Dunleavy | Po Box 89, Oneco, CT 06373-0089 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Melissa A Saad | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Jenkins Lee | 228 E Bass Ln, Suffield, CT 06078-1956 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Melissa L Williams | 66 Long Aly, Palenville, NY 12463-2326 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Melissa A Posner | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).