MARCIA A CARUSO-BERGMAN (Credential# 362989) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARCIA A CARUSO-BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034577. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 184 Mooreland Rd, Kensington, CT 06037. The current status is active.
Licensee Name | MARCIA A CARUSO-BERGMAN |
Credential ID | 362989 |
Credential Number | CSP.0034577 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
184 Mooreland Rd Kensington CT 06037 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-02-26 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
638858 | 10.R32461 | Registered Nurse | 1979-11-02 | 2019-12-01 - 2020-11-30 | ACTIVE |
681182 | 12.003004 | Advanced Practice Registered Nurse | 2004-01-27 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 184 MOORELAND RD |
City | KENSINGTON |
State | CT |
Zip Code | 06037 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Bergman | 184 Mooreland Rd, Kensington, CT 06037 | Honey Bee Registration | 2018-01-01 ~ 2018-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
Find all Licenses in zip 06037 |
City | KENSINGTON |
Zip Code | 06037 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KENSINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael A Bergman | 55 Mckinley Ave Apt D2-1, White Plains, NY 10606-1647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leah Bergman | 839 Farmington Ave Apt A6, West Hartford, CT 06119-1504 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Michael M Caruso | Po Box 988, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert A Caruso Jr. | 31 Steamboat Wharf, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Marcia W Leonard Md | P. O. Box 93, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marcia L Tejeda | 60 Westwood Ave Ste 200, Waterbury, CT 06708-2460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marcia C Mecca | 21 Enoch Dr, Woodbridge, CT 06525-1250 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marcia Y Nearing Od | 54 Park Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Marcia B Bull | 22 Mead Street, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Marcia A Evans Aprn | 62 Deacon Abbott Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).