BRIAN D BERGEN (Credential# 1080626) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is November 12, 2014. The license expiration date date is January 1, 2018. The license status is INACTIVE.
BRIAN D BERGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.015215. The credential type is emergency medical technician. The effective date is November 12, 2014. The expiration date is January 1, 2018. The business address is 4 Sky Edge Ln, Bethel, CT 06801-1023. The current status is inactive.
| Licensee Name | BRIAN D BERGEN |
| Credential ID | 1080626 |
| Credential Number | 70.015215 |
| Credential Type | Emergency Medical Technician |
| Business Address |
4 Sky Edge Ln Bethel CT 06801-1023 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-07-03 |
| Effective Date | 2014-11-12 |
| Expiration Date | 2018-01-01 |
| Refresh Date | 2018-04-03 |
| Street Address | 4 SKY EDGE LN |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-1023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip J Bergen | 4 Sky Edge Ln, Bethel, CT 06801-1023 | Physician Assistant | 2020-06-03 ~ 2021-03-31 |
| Brian Bergen | 4 Sky Edge Ln, Bethel, CT 06801-1023 | Community Association Manager | 2019-02-01 ~ 2020-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard A Courchene | 10 Sky Edge Ln, Bethel, CT 06801-1023 | Emergency Medical Responder | 2017-05-24 ~ 2020-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Anthony Dulko | 6 Winthrop Road, Bethel, CT 06801 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Antonietta Sproviero-metaxas | 36 Quaker Ridge Road, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark K Roos | 6 Crestview Road, Bethel, CT 06801 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Susan Nguyen | 14b Cawley Ave., Bethel, CT 06801 | Esthetician | ~ |
| Blue Jay Orchards | 125 Plumtrees Rd, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Varano Bakery | 198 Greenwood Ave, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nina M Kilcourse | 3 Bayberry Hill Rd, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ralph Ramsdell · Big Y | 83 Stony Hill Road, Bethel, CT 06801 | Grocery Beer | 2020-04-18 ~ 2021-04-17 |
| Marilu F Jeton | 36 Weed Rd, Bethel, CT 06801 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Petagay V Hewitt | 44 Greenwood Avenue, Bethel, CT 06801 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06801 | |||
| City | BETHEL |
| Zip Code | 06801 |
| License Type | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + BETHEL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J Brian Bergen | 1991 Airy Circle, Richmond, VA 23233 | Temporary Certified General Real Estate Appraiser | 1995-03-28 ~ 1995-06-28 |
| August Johansen | 1459 43rd Street, North Bergen, NJ 07047 | Emergency Medical Technician | ~ |
| Richard Bergen | 1523 Hebron Avenue, Glastonbury, CT 06033 | Emergency Medical Technician | ~ 1994-04-01 |
| Bergen Medical Products, Inc. · N/a | 16 Wing Drive, Cedar Knolls, NJ 07927 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-11-14 ~ |
| Ion of Bergen LLC | 71 James Way, Eatontown, NJ 07724-2272 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-01-14 ~ 2015-06-30 |
| Alfred G Bergen · Bergen Builders | 556 Kettletown Road, Southbury, CT 06488 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Amerisource Bergen | Unit 190, Louisville, KY 40214 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2005-07-01 ~ 2006-06-30 |
| Brian S Barber | P.o. Box 73, Waccabuc, NY 10597 | Emergency Medical Technician | ~ 1998-04-01 |
| Brian G Maciel | P.o. Box 591, Sherman, CT 06784 | Emergency Medical Technician | ~ 1995-07-01 |
| Brian L Shippa | Po Box 254, Canaan, CT 06018-0254 | Emergency Medical Technician | 2013-02-26 ~ 2016-01-01 |
Please comment or provide details below to improve the information on BRIAN D BERGEN.
| 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).