BRUCE BOWMAN
Physician Assistant


Address: 62 Morgan Dr, Glastonbury, CT 06033-2910

BRUCE BOWMAN (Credential# 741864) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

BRUCE BOWMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000115. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 62 Morgan Dr, Glastonbury, CT 06033-2910. The current status is active.

Basic Information

Licensee Name BRUCE BOWMAN
Credential ID 741864
Credential Number 23.000115
Credential Type Physician Assistant
Business Address 62 Morgan Dr
Glastonbury
CT 06033-2910
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-09-10
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1203963 CSP.0056641 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-03-06 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 62 MORGAN DR
City GLASTONBURY
State CT
Zip Code 06033-2910

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician Assistant
License Type + County Physician Assistant + GLASTONBURY

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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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