MICHAEL D BERGMAN (Credential# 546657) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MICHAEL D BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027561. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 61 Woodstock Rd, Hamden, CT 06517-2949. The current status is active.
| Licensee Name | MICHAEL D BERGMAN |
| Credential ID | 546657 |
| Credential Number | 1.027561 |
| Credential Type | Physician/Surgeon |
| Business Address |
61 Woodstock Rd Hamden CT 06517-2949 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-08-15 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156060 | CSP.0014529 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1652395 | ENHB.30536 | Honey Bee Registration | 2019-04-29 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 61 WOODSTOCK RD |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-2949 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael M Bergman | 78 Newton Ave, Worcester, MA 01602 | Physician/surgeon | 1997-12-02 ~ 1998-08-31 |
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Alf H Bergman Md | 3 Basil Road, Granby, CT 06035 | Physician/surgeon | 2005-03-28 ~ 2006-03-31 |
| Frank E Bergman · Bergman and Sons Builders | 35 Liepis Rd, Canterbury, CT 06331 | New Home Construction Contractor | 2001-05-01 ~ 2001-09-30 |
| Susan N Bergman | 29 Bergman Dr, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Bergman Kprs LLC | 2850 Saturn St, Brea, CA 92821-1701 | Major Contractor | 2019-07-01 ~ 2020-06-30 |
| Michael A Bergman | 55 Mckinley Ave Apt D2-1, White Plains, NY 10606-1647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lindsey Pogostin Bergman | 183 Rockland Road, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ingrid Bergman | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-08-15 ~ 2021-08-14 |
| Aaron, Smith, Bergman, Gaffney & Rubinstein, P.C. | 270 Benton Drive, East Longmeadow, MA 01028-3119 | Certified Public Accountant Firm Permit | 2000-01-01 ~ 2000-12-31 |
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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).