ROBERTO I BRACAMONTE MD (Credential# 887702) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
ROBERTO I BRACAMONTE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046040. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is Valley Hospital, Phoenix, AZ 85018. The current status is inactive.
| Licensee Name | ROBERTO I BRACAMONTE MD |
| Credential ID | 887702 |
| Credential Number | CSP.0046040 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Valley Hospital Phoenix AZ 85018 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-08-05 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565526 | 1.047944 | Physician/Surgeon | 2009-07-07 | 2011-10-01 - 2012-09-30 | INACTIVE |
| Street Address | Valley Hospital |
| City | Phoenix |
| State | AZ |
| Zip Code | 85018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Piyush Gupta | 3501 N 35th Place, Phoenix, AZ 85018 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jeffrey L Cutberth | 3626 E. Camelback Road, Phoenix, AZ 85018 | Architect | 2018-08-14 ~ 2019-07-31 |
| Mark Mascia | 3943 N 45th Place, Phoenix, AZ 85018 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Juliane Hayashi | 4201 N 35th Way, Phoenix, AZ 85018 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Jennifer Anne Mcdaniel | 4925 E Osborn Rd, Phoenix, AZ 85018 | Controlled Substance Registration for Practitioner | 2019-01-08 ~ 2021-02-28 |
| Victoria Leigh Pacheco | 4045 E E Arrl Dr, Phoenix, AZ 85018 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Elizabeth H Steves · Hillshire House Inc | 5110 North 32nd St, Phoenix, AZ 85018 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
| John K Crowe | 4740 East Mariposa St., Phoenix, AZ 85018 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Thomas K Wagner | 4140 North 44th St/ste 102, Phoenix, AZ 85018 | Architect | 2012-08-01 ~ 2013-07-31 |
| Bernard Deutsch · Deutsch Associates | 4600 East Indian School Rd, Phoenix, AZ 85018 | Architect | 2005-08-01 ~ 2006-07-31 |
| Find all Licenses in zip 85018 | |||
| City | Phoenix |
| Zip Code | 85018 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Phoenix |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roberto E Montenegro | 196 Nicoll St. Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roberto Travieso | 20 York St # 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Anka Roberto | 3138 S Rocklund Ct, Wilmington, NC 28409-6802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Rappa | 157 Leeder Hill Dr Apt 205, Hamden, CT 06517-2762 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Roberto F Martinez | 5 Alder Lane, Sandy Hook, CT 06482 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roberto Norniella Md | 403 Aspen Glen Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Roberto C M Barraza | Uconn Health Center, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Roberto R Martinez Md | 624 Miller Road, East Greenbush, NY 12061 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Rivera Aprn | 1123 Chopmist Hill Rd, N Scituate, RI 02857 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).