CLIFFORD BERKEN
Physician/surgeon


Address: 39 Cogswell Ln, Stamford, CT 06902-1322

CLIFFORD BERKEN (Credential# 543438) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2010. The license expiration date date is December 31, 2010. The license status is INACTIVE.

Business Overview

CLIFFORD BERKEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020678. The credential type is physician/surgeon. The effective date is January 1, 2010. The expiration date is December 31, 2010. The business address is 39 Cogswell Ln, Stamford, CT 06902-1322. The current status is inactive.

Basic Information

Licensee Name CLIFFORD BERKEN
Credential ID 543438
Credential Number 1.020678
Credential Type Physician/Surgeon
Business Address 39 Cogswell Ln
Stamford
CT 06902-1322
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1978-08-17
Effective Date 2010-01-01
Expiration Date 2010-12-31
Refresh Date 2019-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
151039 CSP.0012506 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 39 COGSWELL LN
City STAMFORD
State CT
Zip Code 06902-1322

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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