BREANNA M BERG (Credential# 1280721) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
BREANNA M BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010575. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 270 Newton Rd, Northfield, CT 06778-2304. The current status is active.
| Licensee Name | BREANNA M BERG |
| Credential ID | 1280721 |
| Credential Number | 14.010575 |
| Credential Type | Physical Therapist |
| Business Address |
270 Newton Rd Northfield CT 06778-2304 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-30 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1284864 | 14.010495-TEMP | PT Temporary Permit | 2015-05-27 | 2015-05-27 - 2015-07-30 | INACTIVE |
| Street Address | 270 NEWTON RD |
| City | NORTHFIELD |
| State | CT |
| Zip Code | 06778-2304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia M Berg | 270 Newton Rd, Northfield, CT 06778-2304 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Larry Berg Drywall LLC | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Larry Berg Drywall Inc | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Larry Berg · Larry Berg Drywall Inc | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 1996-08-02 ~ 1996-11-30 |
| Alicia A Berg | 270 Newton Rd, Northfield, CT 6778 | Hairdresser/cosmetician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen F Piechota | 280 Newton Rd, Northfield, CT 06778-2304 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abigail Deangelis | 29 Old Smith Rd., Northfield, CT 06778 | Registered Nurse | 2020-06-26 ~ 2021-01-31 |
| Kurtis M. Neddermann | 34 Reder Rd, Northfield, CT 06778 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Herbert L Hall | 104 Campville Road, Northfield, CT 06778 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Jared R Worden | 360 Marsh Road, Northfield, CT 06778 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Kristina Rose Ferrari | 338 Marsh Rd, Northfield, CT 06778 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Nicole A Owler | 13 Fenn Road Extension, Northfield, CT 06778 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer L Bacon | 311 Campville Road, Northfield, CT 06778 | Real Estate Salesperson | 2017-08-18 ~ 2018-05-31 |
| Lyn M Ringquist | 96 Newton Road, Northfield, CT 06778 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Elyse H Fairchild | 86 Campville Road, Northfield, CT 06778 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brian Fairchild | 86 Campville, Northfield, CT 06778 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06778 | |||
| City | NORTHFIELD |
| Zip Code | 06778 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NORTHFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Breanna M Eppler | 1171 E Putnam Ave Ste 2, Riverside, CT 06878-1426 | Physical Therapist | 2013-08-01 ~ 2014-07-31 |
| Breanna M Czenczelewski | 239 1/2 North Swall Drive, Beverly Hills, CA 90211 | Physical Therapist | 2006-12-27 ~ 2007-07-31 |
| Breanna Lynn Cloonan | 11 Acorn Street, East Longmeadow, MA 01028 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| James P Berg | 22 Jensen Farm Rd., Oxford, CT 06478 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Lauren Van De Berg | 79 West Street, Windsor, CT 06095 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Phillip E Berg | 53 Parker St. C111, Wallingford, CT 06492 | Physical Therapist Assistant | 2001-07-25 ~ 2006-11-01 |
| Madison Nora Berg | 881 Pike Ave, Attleboro, MA 02703-5323 | Physical Therapist Assistant | 2018-10-11 ~ 2019-09-30 |
| Phyllis Berg | 6004 Westchester Pk, College Park, MD 20740 | Physical Therapist | 2003-03-10 ~ 2004-03-31 |
| Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
| Larry Berg · Larry Berg Drywall Inc | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 1996-08-02 ~ 1996-11-30 |
Please comment or provide details below to improve the information on BREANNA M BERG.
| 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).