Charles A Bonelli Od · Canton Village Controlled Substance Registration for Practitioner
220 Albany Tpke Route 44, Canton, CT 06019


Charles A Bonelli Od · Canton Village is licensed in the eLicensing system of Connecticut. The license credential ID is 49279. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 220 Albany Tpke Route 44, Canton, CT 06019. The zip code is 06019.


Charles A Bonelli Od · Canton Village · 220 Albany Tpke Route 44, Canton, CT 06019

Credential ID 49279
Name CHARLES A BONELLI OD
Business Name CANTON VILLAGE
Type INDIVIDUAL
Address 220 ALBANY TPKE ROUTE 44
CANTON, CT 06019
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0025096
Credential Type CSP
Credential Number 25096
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/13/201

CANTON VILLAGE · Connecticut Business

Charles A Bonelli Od · Canton Village · Optometrist 220 Albany Tpke Route 44, Canton, CT 06019

CHARLES A BONELLI OD · Connecticut Business

Charles A Bonelli Od · Canton Village · Optometrist 220 Albany Tpke Route 44, Canton, CT 06019

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