KELLY N BERGER (Credential# 1327876) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
KELLY N BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003512. The credential type is physician assistant. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 37 Greenwich Hills Dr, Greenwich, CT 06831-4966. The current status is inactive.
| Licensee Name | KELLY N BERGER |
| Credential ID | 1327876 |
| Credential Number | 23.003512 |
| Credential Type | Physician Assistant |
| Business Address |
37 Greenwich Hills Dr Greenwich CT 06831-4966 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-01-27 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 37 GREENWICH HILLS DR |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-4966 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert C Miller | 43 Greenwich Hills Dr, Greenwich, CT 06831-4966 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Virginia Klunder | 45 Greenwich Hills Dr, Greenwich, CT 06831-4966 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hui Ja Paek | 235 Glenville Rd, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gloria E Triana | 11 Hollow Wood Lane, Greenwich, CT 06831 | Real Estate Salesperson | ~ |
| Pointe Residential Builders LLC | 881 Lake Ave, Greenwich, CT 06831 | Major Contractor | 2020-06-26 ~ 2021-06-30 |
| Hrishikesh N. Gogate Dds | 90 Dearfield Drive, Greenwich, CT 06831 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Deborah Alza | 10 Buena Vista Drive, Greenwich, CT 06831 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Hy Pomerance | 55a Byram Terrace Drive, Greenwich, CT 06831 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Maryann Margolies | 8 Pilgrim Dr, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Karen L Kain | 129 Cutler Rd, Greenwich, CT 06831 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joel M Rein | 2 1/2 Dearfield Dr, Greenwich, CT 06831 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Young Sook Lieu | 52 Almira Dr Unit C, Greenwich, CT 06831 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06831 | |||
| City | GREENWICH |
| Zip Code | 06831 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon C Berger | 9 Colony Dr, Winsted, CT 06098 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Christina Berger · Berger Nursery | Po Box 7283, Kensington, CT 06037 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Kelly Ann Meenan | 8 Lenmore Dr, Old Bethpage, NY 11804-1119 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kelly Donovan | 80 Seymour St, Hartford, CT 06102-8000 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Adam C Kelly Pa | 1403 Horizon Way, Manchester, CT 06042 | Physician Assistant | 2008-03-04 ~ 2009-04-30 |
| Kelly A. Barrett | 148 Mathewson St Unit 203, Jewett City, CT 06351-2060 | Physician Assistant | ~ |
| Kelly M Pfau | 22 Broad Hill Cir, Guilford, CT 06437-1722 | Physician Assistant | 2017-11-01 ~ 2018-10-31 |
| Kelly C Lindquist | 4 Queens Peak Rd., Canton, CT 06019 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
| Kelly Irene Mitchell | 63 Paul Ter, Southington, CT 06489-4128 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelly C Barker | 5700 Spring Oak Dr, Los Angeles, CA 90068 | Physician Assistant | 1998-09-21 ~ 1999-08-31 |
Please comment or provide details below to improve the information on KELLY N BERGER.
| 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).