MARTHA J BERTZ MD (Credential# 150975) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MARTHA J BERTZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013371. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 19 Misty Meadow, Burlington, CT 06013. The current status is inactive.
| Licensee Name | MARTHA J BERTZ MD |
| Credential ID | 150975 |
| Credential Number | CSP.0013371 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
19 Misty Meadow Burlington CT 06013 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546033 | 1.026465 | Physician/Surgeon | 1985-07-01 | 2011-02-01 - 2012-01-31 | INACTIVE |
| Street Address | 19 MISTY MEADOW |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha G Welch Md | 235 Cognewaugh Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Martha Spieker | 92 Beckett Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1993-07-23 ~ 1995-02-01 |
| Martha Zegarra | 78 Olive St Apt 326, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Martha A Leroy Pa | 28 Reynolds Court, Del Mar, NY 12054 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Martha Mccrann Pa | 410 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martha E Haykin | 51 Clifford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Martha Stewart | 115 Birdseye Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martha Grajewski | 36 Old Cider Mill Rd, Southington, CT 06489-1873 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martha Klay | 30 Gilmore Ave, Great Barrington, MA 01230-1438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martha A Boulton | 1698 Post Rd E, Westport, CT 06880-5652 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARTHA J BERTZ MD.
| 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).