CLIFFORD BERG (Credential# 1402708) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CLIFFORD BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056402. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 15b Linden Ave, Branford, CT 06405. The current status is active.
Licensee Name | CLIFFORD BERG |
Credential ID | 1402708 |
Credential Number | 1.056402 |
Credential Type | Physician/Surgeon |
Business Address |
15b Linden Ave Branford CT 06405 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-05-01 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1434100 | CSP.0066064 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 15B Linden Ave |
City | BRANFORD |
State | CT |
Zip Code | 06405 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
Gerald R Berg | 17a Harbour Village, Branford, CT 06405 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Niels E Berg | 104 Bayberry Hill Road, Ridgefield, CT 06877 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
Clifford Kye | 540 Litchfield St., Torrington, CT 06790 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford J Appel | 55 E Farm Ln, Ridgefield, CT 06877-3432 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Clifford J Prestia | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Clifford B Freling Md | 44 Northgate, Avon, CT 06001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford M. Gevirtz | 31 Longledge Dr, Rye Brook, NY 10573-1943 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford B Rosenberg | 81 Coe Street, Winsted, CT 06098 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
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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).