ROBERTA BRUNI MD
Controlled Substance Registration for Practitioner


Address: 33 Windy Hill Drive, South Windsor, CT 06074

ROBERTA BRUNI MD (Credential# 416280) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ROBERTA BRUNI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038326. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 33 Windy Hill Drive, South Windsor, CT 06074. The current status is inactive.

Basic Information

Licensee Name ROBERTA BRUNI MD
Credential ID 416280
Credential Number CSP.0038326
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Windy Hill Drive
South Windsor
CT 06074
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-01-25
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
561587 1.044005 Physician/Surgeon 2006-01-09 2008-09-15 - 2009-10-31 INACTIVE

Office Location

Street Address 33 WINDY HILL DRIVE
City SOUTH WINDSOR
State CT
Zip Code 06074

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Competitor

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City SOUTH WINDSOR
Zip Code 06074
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR

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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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