DEANE BERSON
Physician/surgeon


Address: Box 556, Green Mountain Falls, CO 80819

DEANE BERSON (Credential# 540980) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 22, 1969. The license expiration date date is February 28, 1993. The license status is INACTIVE.

Business Overview

DEANE BERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014107. The credential type is physician/surgeon. The effective date is August 22, 1969. The expiration date is February 28, 1993. The business address is Box 556, Green Mountain Falls, CO 80819. The current status is inactive.

Basic Information

Licensee Name DEANE BERSON
Credential ID 540980
Credential Number 1.014107
Credential Type Physician/Surgeon
Business Address Box 556
Green Mountain Falls
CO 80819
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-08-22
Effective Date 1969-08-22
Expiration Date 1993-02-28
Refresh Date 2009-07-08

Office Location

Street Address Box 556
City Green Mountain Falls
State CO
Zip Code 80819

Competitor

Search similar business entities

City Green Mountain Falls
Zip Code 80819
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Green Mountain Falls

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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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