PATRICK J BERGER DO (Credential# 538240) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 18, 2003. The license expiration date date is November 30, 2004. The license status is INACTIVE.
PATRICK J BERGER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000508-DO. The credential type is physician/surgeon. The effective date is November 18, 2003. The expiration date is November 30, 2004. The business address is 215 Brentwood Drive, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | PATRICK J BERGER DO |
| Credential ID | 538240 |
| Credential Number | 1.000508-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
215 Brentwood Drive Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-09-11 |
| Effective Date | 2003-11-18 |
| Expiration Date | 2004-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155100 | CSP.0027407 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 215 BRENTWOOD DRIVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristine Alexi G Escobar | 215 Brentwood Drive, Wallingford, CT 06492 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Leah V Gellez | 215 Brentwood Drive, Wallingford, CT 06492 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
| Ronald O Berger | 179 Ledge Dr, Torrington, CT 06790-2241 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
| Robert H Berger Md | 116 Compo Rd S, Westport, CT 06880-5009 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elizabeth Ann Berger | 170 Woodland Dr, Cromwell, CT 06416-1162 | Physician/surgeon | 1980-12-02 ~ 1982-12-31 |
| Gary S Berger | 114 E 71st St Ste 1w, New York, NY 10021-5038 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Paul S Berger | 16 Upland Road, Stamford, CT 06906 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Malgorzata Kowalska-berger | 211 New Britain Rd, Kensington, CT 06037 | Physician/surgeon | 2008-10-23 ~ 2009-10-31 |
| Scott R Berger | 62 Jacobs Hill Rd, Mansfield, CT 06250 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eric S Berger | 500 W 56th St Apt 1017, New York, NY 10019-3570 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
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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).