LINDSEY POGOSTIN BERGMAN (Credential# 1604418) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LINDSEY POGOSTIN BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004344. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 183 Rockland Road, Fairfield, CT 06825. The current status is active.
| Licensee Name | LINDSEY POGOSTIN BERGMAN |
| Credential ID | 1604418 |
| Credential Number | 23.004344 |
| Credential Type | Physician Assistant |
| Business Address |
183 Rockland Road Fairfield CT 06825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1616761 | CSP.0069913 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 183 Rockland Road |
| City | Fairfield |
| State | CT |
| Zip Code | 06825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | Fairfield |
| Zip Code | 06825 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Fairfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsey Heim | 123 Goethe St, Cincinnati, OH 45202-8953 | Physician Assistant | 2020-03-02 ~ 2021-03-31 |
| Lindsey C Roncaioli | 326 Washington St, Norwich, CT 06360 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Page Lindsey Coleman | 96 Cold Spring Rd., Avon, CT 06001 | Physician Assistant | ~ |
| Lindsey Belliveau | 38 N Main St Apt 7, West Hartford, CT 06107-1904 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lindsey Deborah Baumoel | 3940 Honeycutt St, San Diego, CA 92109 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Lindsey E Lien Pa-c | 291 N Main Street, West Hartford, CT 06117 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lindsey R Meehan Pa | 158 Webster Hill Blvd, West Hartford, CT 06107-3744 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Frank E Bergman · Bergman and Sons Builders | 35 Liepis Rd, Canterbury, CT 06331 | New Home Construction Contractor | 2001-05-01 ~ 2001-09-30 |
| Susan N Bergman | 29 Bergman Dr, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Bergman Kprs LLC | 2850 Saturn St, Brea, CA 92821-1701 | Major Contractor | 2019-07-01 ~ 2020-06-30 |
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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).