MICHAEL R BERMAN MD (Credential# 542618) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MICHAEL R BERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017989. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 11 Prospect Ct, Woodbridge, CT 06525-1508. The current status is active.
Licensee Name | MICHAEL R BERMAN MD |
Credential ID | 542618 |
Credential Number | 1.017989 |
Credential Type | Physician/Surgeon |
Business Address |
11 Prospect Ct Woodbridge CT 06525-1508 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1976-06-22 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-11-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
151055 | CSP.0003527 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 11 PROSPECT CT |
City | WOODBRIDGE |
State | CT |
Zip Code | 06525-1508 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | WOODBRIDGE |
Zip Code | 06525 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODBRIDGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joel A Berman | 225 Boston St, Lynn, MA 01904 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
Daniel S Berman | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
David H Berman | 1 Little Fox Lane, Westport, CT 06880 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Jessica R Berman Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2004-05-24 ~ 2005-05-31 |
Robert M Berman | 77 Livingston Street, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Leonard D Berman | 230 Woodward Street, Waban, MA 02468 | Physician/surgeon | 2001-07-02 ~ 2002-07-31 |
Lewis Berman Md | 175 Fairland Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sidney Berman | C/o Dr. Gerald Flamm, New Haven, CT 06511 | Physician/surgeon | 2005-06-01 ~ 2006-02-28 |
Lorraine M Wolpert-berman | Southern Pines, NC 28387 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Martin M Berman | 27 High Hill Road, Bloomfield, CT 06002 | Physician/surgeon | 2007-03-02 ~ 2008-02-29 |
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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).