JON BERRY MD (Credential# 319647) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
JON BERRY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032755. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is Naval Ambulatory Care Ctr Code 25, Groton, CT 06349-5600. The current status is inactive.
| Licensee Name | JON BERRY MD |
| Credential ID | 319647 |
| Credential Number | CSP.0032755 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Naval Ambulatory Care Ctr Code 25 Groton CT 06349-5600 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558332 | 1.040749 | Physician/Surgeon | 2002-08-12 | 2002-08-12 - 2003-05-31 | INACTIVE |
| Street Address | NAVAL AMBULATORY CARE CTR CODE 25 |
| City | GROTON |
| State | CT |
| Zip Code | 06349-5600 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tony L Peterson Dds | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Daryl C Ranton | Nav Hosp Box 600, Groton, CT 06349-5600 | Registered Nurse | 1996-07-16 ~ 1997-09-30 |
| Christopher L Willey | Box 600, Naval Hospital, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Mark J Caci | Naval Hospital, Box 334, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1995-07-01 |
| Richard K Webster | Box 600 Nursing Services, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-07-01 |
| Kristin E Carleo | Naval Hosp., Box 600-dental, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Brian S Nogle | Naval Hospital, P.o. Box 600, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Shannon D Dishner | Naval Hospital, Box 600, Sub Base, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Ronald R Rasmussen Md | Naval Ambulatory Care, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Matthew W Nicola Md | Naval Ambulatory Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Find all Licenses in zip 06349-5600 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miles Schnirman | 1 Wahoo Avenue, Groton, CT 06349 | Psychologist | ~ |
| Herb J Carlon | 49 Golf Street, Groton, CT 06349 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shariff Sanchez | 239 Laurel Hill Avenue, Norwich, CT 06349 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Renee F Dunn · James | Bldg 83 Box 93, Groton, CT 06349 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Pearle Vision #c439 | Building 484, Groton, CT 06349 | Optical Selling Permit | 2019-09-05 ~ 2020-08-31 |
| Shahiah Gibson | 43 South Rd Apt 43-12b, Groton, CT 06349 | Medication Administration Certification | ~ |
| Taco Bell/pizza Hut/tcby Treats · Tacala North Inc | 86 Ella Grasso Tpke, Windsor Locks, CT 06349 | Bakery | 2000-07-01 ~ 2001-06-30 |
| International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 | Po Box 5003, Groton, CT 06349 | Public Charity | 2013-06-07 ~ 2014-11-30 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wendy A Rossi | Nacc, Groton, CT 06349 | Registered Nurse | 2002-07-01 ~ 2003-06-30 |
| Find all Licenses in zip 06349 | |||
| City | GROTON |
| Zip Code | 06349 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Berry | 211 Banks Rd, Easton, CT 06612-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan M Colligan | 34 Berry St Apt 6g, Brooklyn, NY 11249-1041 | Controlled Substance Registration for Practitioner | 2019-06-03 ~ 2021-02-28 |
| Cecile Berry | 98 Charolais Way, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kylanne Berry | 11 Old Park Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hollister L Berry Aprn | 55 Lock St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bethany R Berry Lnm | 22 Yelping Hill Rd, Cornwall, CT 06796 | Controlled Substance Registration for Practitioner | 2011-03-21 ~ 2013-02-28 |
| Stephanie Berry Aprn | 38 Dalewood Ave, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Ronald Berry Md | 222 West Las Colinas Boulevard, Irving, TX 75039 | Controlled Substance Registration for Practitioner | 2001-04-26 ~ 2002-02-28 |
| Diane Berry Aprn | 2305 Pinnacle Way, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Deborah Roth Berry | 467 Sylvan Knoll Road, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JON BERRY 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).