SCOTT R BERGER (Credential# 546315) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SCOTT R BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027000. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 62 Jacobs Hill Rd, Mansfield, CT 06250. The current status is active.
| Licensee Name | SCOTT R BERGER |
| Credential ID | 546315 |
| Credential Number | 1.027000 |
| Credential Type | Physician/Surgeon |
| Business Address |
62 Jacobs Hill Rd Mansfield CT 06250 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-01-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156461 | CSP.0013785 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott R Berger · Douglas Manor | 103 North Rd, Windham, CT 06280-1311 | Controlled Substance Registration for Practitioner | 2019-06-13 ~ 2021-02-28 |
| Street Address | 62 Jacobs Hill Rd |
| City | Mansfield |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | Mansfield |
| Zip Code | 06250 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Mansfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott B Berger Md | 42 Lake Avenue Ext Ste 266, Danbury, CT 06811-5279 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gary S Berger | 114 E 71st St Ste 1w, New York, NY 10021-5038 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Robert H Berger Md | 116 Compo Rd S, Westport, CT 06880-5009 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
| Elizabeth Ann Berger | 170 Woodland Dr, Cromwell, CT 06416-1162 | Physician/surgeon | 1980-12-02 ~ 1982-12-31 |
| 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 |
| Steven G Berger | 305 Silver Creek Ln, Norwalk, CT 06850-1646 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert M Berger Md | 275 Bicentennial Highway, Springfield, MA 01118 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Patrick J Berger Do | 215 Brentwood Drive, Wallingford, CT 06492 | Physician/surgeon | 2003-11-18 ~ 2004-11-30 |
Please comment or provide details below to improve the information on SCOTT R BERGER.
| 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).