LEA A BONIFACIO (Credential# 557733) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2005. The license expiration date date is January 31, 2007. The license status is INACTIVE.
LEA A BONIFACIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040150. The credential type is physician/surgeon. The effective date is December 6, 2005. The expiration date is January 31, 2007. The business address is 416 Bluebird Drive, Russell, KY 41169. The current status is inactive.
| Licensee Name | LEA A BONIFACIO |
| Credential ID | 557733 |
| Credential Number | 1.040150 |
| Credential Type | Physician/Surgeon |
| Business Address |
416 Bluebird Drive Russell KY 41169 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-02-13 |
| Effective Date | 2005-12-06 |
| Expiration Date | 2007-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 416 Bluebird Drive |
| City | Russell |
| State | KY |
| Zip Code | 41169 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saadi Alhalbouni | 216 Amanda St Apt B, Russell, KY 41169-1313 | Controlled Substance Registration for Practitioner | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olga Tereshchuk | 210 Pine Hill Rd, Russell, MA 01071-9514 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Christine Ann Musgrove | 1252 N Krug St, Russell, KS 67665-1809 | Advanced Practice Registered Nurse | 2020-06-12 ~ 2021-04-30 |
| Brianna Marie Weltlich | 35 Woodland Way, Russell, MA 01071-9652 | Occupational Therapist | 2020-03-04 ~ 2021-07-31 |
| Raymond J Anton Md | Raymond J. Anton, M.d., Russell, MA 01071 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brad D Emmonds | 76 Patriots Path, Russell, MA 01071-9763 | Electrical Unlimited Journeyperson | 2020-01-14 ~ 2020-09-30 |
| Nicholas Haftmann · H & S Construction | 620 S Quarter Rd, Russell, MA 01071 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Eleanor A Blanchard | 965 Blandford Road, Russell, MA 01071 | Notary Public Appointment | 2013-05-16 ~ 2018-05-31 |
| Carrie Ann Tweed | 1157 Huntington Rd, Russell, MA 01071-9527 | Dental Hygienist | 2018-08-31 ~ 2019-07-31 |
| Guy S Jediny | 285 General Knox Rd, Russell, MA 01071-9610 | Plumbing & Piping Limited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| James E Cote | 53 Timberidge Dr, Russell, MA 01071-9747 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in Russell | |||
| City | Russell |
| Zip Code | 41169 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Russell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| San Bonifacio Merlot Veneto | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-10-26 ~ 2001-10-26 |
| San Bonifacio Pinot Grigio | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-09-13 ~ 2002-09-13 |
| Marilin C Bonifacio | 27 Mansfield St., Bethel, CT 06801 | Hairdresser/cosmetician | 2019-06-01 ~ 2021-05-31 |
| Bonifacio Herrera | 177 12 129th Ave, Jamaica, NY 11434-5822 | Asbestos Abatement Worker | 2018-08-03 ~ 2019-07-31 |
| Gabriel A Bonifacio | 29 Scarlett Dr, New Britain, CT 06053-1322 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Bonifacio Alhambra Quilo-an | 120 Towne St, Apt 241, Stamford, CT 06902 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Simeona O Bonifacio | 5741 Monocacy Dr, Bethlehem, PA 18017 | Registered Nurse | 2009-06-29 ~ 2010-07-31 |
| Lulea Abat Guerrero | 138 A Bonifacio Street, San Fernando La Union, PH 2500 | Registered Nurse | ~ |
| John Jorell Paczon Dimatulac | 33 Bonifacio St., Phase 2-b, Bacoor, Cavite, PH 4102 | Physical Therapist | ~ |
| Daryl Emmanuel Adajar Perez | #12 Bonifacio St, Dagupan City, PH 2400 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on LEA A BONIFACIO.
| 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).