BRUNO J WEST MD (Credential# 561303) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
BRUNO J WEST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043721. The credential type is physician/surgeon. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 1330 Boylston St, Boston, MA 02215. The current status is inactive.
Licensee Name | BRUNO J WEST MD |
Credential ID | 561303 |
Credential Number | 1.043721 |
Credential Type | Physician/Surgeon |
Business Address |
1330 Boylston St Boston MA 02215 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-08-09 |
Effective Date | 2010-05-01 |
Expiration Date | 2011-04-30 |
Refresh Date | 2011-08-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
497749 | CSP.0043256 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-25 | 2009-03-01 - 2011-02-28 | INACTIVE |
871328 | 70.970649 | Emergency Medical Technician | 1997-04-01 | - 1999-04-01 | INACTIVE |
Street Address | 1330 boylston st |
City | boston |
State | MA |
Zip Code | 02215 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Providence Strategic Growth Europe, Lp | Landmark Center, Boston, MA 02215 | Securities - Exemptions | ~ |
Dana-farber Cancer Institute Inc | 450 Brookline Ave, Boston, MA 02215 | Nonresident Pharmacy | ~ |
Kelly Zhang | 400 Brookline Ave, Boston, MA 02215 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Red Sox Foundation | 4 Jersey Street, Boston, MA 02215 | Public Charity | 2019-12-01 ~ 2020-11-30 |
James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Marc-david Munk | 136 Brookline Ave, Boston, MA 02215 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Walgreens #10996 | 429 Brookline Ave., Boston, MA 02215 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Inga-marie Schaefer | 19 Queensberry Street, Boston, MA 02215 | Physician/surgeon | 2018-02-01 ~ 2019-02-28 |
Bhaskar Roy | 111 Park Drive, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David E Denny | 51 Park Dr #2, Boston, MA 02215 | Professional Engineer | 2012-03-12 ~ 2013-01-31 |
Find all Licenses in zip 02215 |
City | boston |
Zip Code | 02215 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + boston |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph J Bruno · Bruno's Painting | 325 Beechwood Road, West Hartford, CT 06107 | Home Improvement Contractor | 2000-01-27 ~ 2000-11-30 |
J James Bruno II | 51-53 Kenosia Ave, Danbury, CT 06810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Patricio G Bruno | 368 Monaco Ln, Glastonbury, CT 06033-2367 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
Bruno Di Cosmo Md | 1 Theall Road, Rye, NY 10580 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Christie J Bruno | 59 Riverview Road, Glastonbury, CT 06033 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
John A Bruno | 1300 Lafayette Dr, Alexandria, VA 22308-1106 | Physician/surgeon | 1974-02-13 ~ 1981-11-30 |
Bruno Gerstl | 485 Woodside Rd, Redwood City, CA 94061 | Physician/surgeon | 1992-07-23 ~ 1993-04-30 |
Bruno Dipasquale | 507 N. Terrace Ave., Mount Vernon, NY 10552 | Physician/surgeon | 2000-02-14 ~ 2001-02-28 |
Rafael A Paoli-bruno | Po Box 4136, Puerto Real, 00740 | Physician/surgeon | 1992-12-22 ~ 1993-11-30 |
Theodore Bruno Md · C/o Kaiser Permanente | 5 Tarry Town Lane, Niantic, CT 06357 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).