REONO BERTAGNOLLI (Credential# 564539) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
REONO BERTAGNOLLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046957. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488. The current status is active.
| Licensee Name | REONO BERTAGNOLLI |
| Credential ID | 564539 |
| Credential Number | 1.046957 |
| Credential Type | Physician/Surgeon |
| Business Address |
1620 Northwest Blvd Ste 202 Coeur D Alene ID 83814-2488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-09-03 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-10 |
| Street Address | 1620 NORTHWEST BLVD STE 202 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santiago Jimenez | 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc T Awobuluyi Md | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814-2488 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| David G Drake | C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Robin Prasad Md | 250 Northwest Blvd #202, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
| Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COEUR D ALENE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bertagnolli Acquavite D'uva | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-10-31 ~ 2010-10-29 |
| Bertagnolli Bombardino | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-03-30 ~ 2015-03-28 |
| Bertagnolli Grappino | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-10-28 ~ 2019-10-26 |
| Bertagnolli Lemoncel Liqueur | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-05-22 ~ 2020-05-20 |
| Distilleria Bertagnolli Grappa Di Moscato Giallo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-02-08 ~ 2019-02-07 |
| Distilleria Bertagnolli Grappa Di Teroldego Trentino | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-02-08 ~ 2019-02-07 |
| Distilleria Bertagnolli Grappa Di Amarone Valpolicella | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-02-08 ~ 2019-02-07 |
| David B Bertagnolli | 16 Forest Hill Rd, Feeding Hills, MA 01030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Clara E Bertagnolli | 45 Arnold Way, West Hartford, CT 06119 | Notary Public Appointment | 2017-11-20 ~ 2022-11-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on REONO BERTAGNOLLI.
| 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).