SAMUEL BERGMAN (Credential# 1040951) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 22, 1982. The license expiration date date is April 30, 1984. The license status is INACTIVE.
SAMUEL BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023659. The credential type is physician/surgeon. The effective date is June 22, 1982. The expiration date is April 30, 1984. The business address is Po Box 516, Durham, CT 06422-0516. The current status is inactive.
| Licensee Name | SAMUEL BERGMAN |
| Credential ID | 1040951 |
| Credential Number | 1.023659 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 516 Durham CT 06422-0516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-06-22 |
| Effective Date | 1982-06-22 |
| Expiration Date | 1984-04-30 |
| Refresh Date | 2011-11-14 |
| Street Address | PO BOX 516 |
| City | DURHAM |
| State | CT |
| Zip Code | 06422-0516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
| Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
| Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06422 | |||
| City | DURHAM |
| Zip Code | 06422 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DURHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael M Bergman | 78 Newton Ave, Worcester, MA 01602 | Physician/surgeon | 1997-12-02 ~ 1998-08-31 |
| Michael D Bergman | 61 Woodstock Rd, Hamden, CT 06517-2949 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Alf H Bergman Md | 3 Basil Road, Granby, CT 06035 | Physician/surgeon | 2005-03-28 ~ 2006-03-31 |
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frank E Bergman · Bergman and Sons Builders | 35 Liepis Rd, Canterbury, CT 06331 | New Home Construction Contractor | 2001-05-01 ~ 2001-09-30 |
| Susan N Bergman | 29 Bergman Dr, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel B Rentsch | 242 Hubbard St, Glastonbury, CT 06033 | Physician/surgeon | 1994-08-16 ~ 1995-08-31 |
| Samuel L Kushner | 9 Bayard Rd, Somerset, NJ 08873-7205 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Please comment or provide details below to improve the information on SAMUEL BERGMAN.
| 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).