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.
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.
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 |
Street Address | Box 556 |
City | Green Mountain Falls |
State | CO |
Zip Code | 80819 |
City | Green Mountain Falls |
Zip Code | 80819 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Green Mountain Falls |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shelley Berson | 106 Mcintosh Dr, Mahwah, NJ 07430-3206 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Gerald S Berson | 180 Silas Deane Highway, Rocky Hill, CT 06067 | Notary Public Appointment | 1971-08-01 ~ 1977-03-31 |
Gerald S Berson | 1800 Silas Deane Hwy, Rocky Hill, CT 06067 | Heating, Piping & Cooling Unlimited Contractor | ~ 1989-10-01 |
Shirley S Berson | 1800 Silas Deane Highway, Rocky Hill, CT 06067 | Notary Public Appointment | 1975-11-01 ~ 1980-03-31 |
Kevin P Mcgrath Md | 912 Silas Deane Hwy #100, Wethersfield, CT 06109 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Julie Ann H Phenco | 554 Silas Deane Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2008-07-30 ~ 2009-07-31 |
Gregory S Bonaiuto Md | 988 Silas Deane Hwy, Wethersfield, CT 06109-4227 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Carl W. Moeller Md | 988 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Paul T Dekker | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Thelma E Yap | 1800 Silas Deane, Rocky Hill, CT 06067 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
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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).