PHILLIS BEBERMAN-JENNES
Physician/surgeon


Address: 59 Bethany Farms Road, Bethany, CT 06524

PHILLIS BEBERMAN-JENNES (Credential# 538159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

PHILLIS BEBERMAN-JENNES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000424-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 59 Bethany Farms Road, Bethany, CT 06524. The current status is active.

Basic Information

Licensee Name PHILLIS BEBERMAN-JENNES
Credential ID 538159
Credential Number 1.000424-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 59 Bethany Farms Road
Bethany
CT 06524
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-08-11
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-21

Other licenses

ID Credential Code Credential Type Issue Term Status
179094 CSP.0025598 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 59 BETHANY FARMS ROAD
City BETHANY
State CT
Zip Code 06524

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Catherine M Ford · Porto 78 Tuttle Court, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Erin Mcknight 24 Timber Ln, Bethany, CT 06524 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cheryl A Bevvino 106 Sperry Rd, Bethany, CT 06524 Registered Nurse 2020-09-01 ~ 2021-08-31
Catherine Geloso 19 Amadeo Drive, Bethany, CT 06524 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Patricia Burke 12 Miller Rd, Bethany, CT 06524 Veterinarian 2020-09-01 ~ 2021-08-31
Complete Excavating Services LLC 674 Amity Rd, Bethany, CT 06524 Demolition Contractor 2020-07-01 ~ 2021-06-30
Brian K Coutermarsh 32 Emerald Lane, Bethany, CT 06524 Radiographer 2020-09-01 ~ 2021-08-31
Michelle L Amato 172 Russell Rd, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Joseph L Colaci 57 Edwards Road, Bethany, CT 06524 Nursing Home Administrator 2020-05-01 ~ 2022-04-30
Karen C Praskievicz 85 Sperry Rd, Bethany, CT 06524 Registered Nurse 2020-09-01 ~ 2021-08-31
Find all Licenses in zip 06524

Competitor

Search similar business entities

City BETHANY
Zip Code 06524
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BETHANY

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Julie A Beberman · Us Dept of Labor 317 Old Zoar Rd, Monroe, CT 06468 Professional Engineer 1992-12-07 ~ 1993-01-31
Henry Jennes Rfd 1, Uncasville, CT 06382 Notary Public Appointment 1957-02-14 ~ 1962-03-31
Brian J Jennes 314 Oak St, South Windsor, CT 06074-2391 Emergency Medical Technician 2018-10-09 ~ 2022-06-30
Stephen Jennes 84 Waterhole Rd., Colchester, CT 06415 Medication Administration Certification 2016-04-07 ~ 2018-04-06
Samantha Jennes 84 Waterhole Rd., Colchester, CT 06415 Medication Administration Certification 2017-09-12 ~ 2019-09-11
Phillis M Holderfield 3115 San Lucas Ave., Dallas, TX 75228 Registered Nurse 2009-02-19 ~ 2009-09-30
Phillis D Askwyth Unknown, CT 00000 Notary Public Appointment 1961-08-01 ~ 1962-03-31
Phillis M Feld 10 Ameridge Dr., Bridgeport, CT 06606 Marital and Family Therapist ~ 1996-08-31
Sharon K Phillis 74 Rolling Wood Dr, Trumbull, CT 06611 Registered Nurse 1994-03-29 ~ 1995-05-31
Sandra A Phillis · Laporte 52 N Birch St, Gilbert, AZ 85233-5437 Hairdresser/cosmetician 1995-08-07 ~ 1996-09-30

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Dataset Information

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).

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