ALEXANDER M. BERRY (Credential# 1055581) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
ALEXANDER M. BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 3640 Main St Ste 103, Springfield, MA 01107-1139. The current status is expired application.
| Licensee Name | ALEXANDER M. BERRY |
| Credential ID | 1055581 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
3640 Main St Ste 103 Springfield MA 01107-1139 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION |
| Refresh Date | 2014-12-02 |
| Street Address | 3640 MAIN ST STE 103 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1139 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip S Kick | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| William C Tran | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Mohammad R Mostafavi | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Donald J Sonn | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan D Glover | 3640 Main Street, Springfield, MA 01107-1139 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian K Bredvik | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark A Jackowitz | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Philip Moraitis | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Gregory J Faust | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Raphael J De Lima | 3640 Main Street, Springfield, MA 01107-1139 | Physician/surgeon | 2008-10-14 ~ 2009-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric A Hughes | 28 Berry Ln, Lakeville, PA 18438-3024 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Kenneth M Berry | 125 Maple Ave, Wellsville, NY 14895 | Physician/surgeon | 1996-12-23 ~ 1997-12-31 |
| Ayse P Cemeroglu | 4232 Berry Rd, Plymouth, MI 48170-5110 | Physician/surgeon | 2001-08-13 ~ 2002-07-31 |
| Robert W Berry Jr | 2800 Main St, Bridgeport, CT 06606 | Physician/surgeon | 1995-03-08 ~ 1996-05-31 |
| Claire M Tenny Md | 30 Checker Berry Way, Manchester, NH 03102-4461 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Sagine Berry-tony | 33 Church Hill Rd., Newtown, CT 06470 | Physician/surgeon | ~ |
| Ross S Kazer | 11676 E Berry Drive, Englewood, CO 80111 | Physician/surgeon | 2005-09-14 ~ 2006-09-30 |
| Irfanullah Yusufzai Md | 4605 Holly Berry Dr, Plano, TX 75093-7008 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| David Q Mcardle | 16567 E Berry Lane, Aurora, CO 80015 | Physician/surgeon | 1981-01-01 ~ 1994-01-31 |
| Jacques C Raymond | 3151 Berry Lane, Roanoke, VA 24018 | Physician/surgeon | 2000-04-07 ~ 2001-03-31 |
Please comment or provide details below to improve the information on ALEXANDER M. BERRY.
| 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).