KENNETH M BERRY (Credential# 546862) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 23, 1996. The license expiration date date is December 31, 1997. The license status is INACTIVE.
KENNETH M BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027928. The credential type is physician/surgeon. The effective date is December 23, 1996. The expiration date is December 31, 1997. The business address is 125 Maple Ave, Wellsville, NY 14895. The current status is inactive.
Licensee Name | KENNETH M BERRY |
Credential ID | 546862 |
Credential Number | 1.027928 |
Credential Type | Physician/Surgeon |
Business Address |
125 Maple Ave Wellsville NY 14895 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1987-02-25 |
Effective Date | 1996-12-23 |
Expiration Date | 1997-12-31 |
Refresh Date | 2009-07-08 |
Street Address | 125 MAPLE AVE |
City | WELLSVILLE |
State | NY |
Zip Code | 14895 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Otis Eastern Service, Inc. | P.o. Box 330, Wellsville, NY 14895 | Crane Registration | 2008-07-26 ~ 2009-07-25 |
Donna L Squires · Vaede | 27 North Franklin Street, Wellsville, NY 14895 | Licensed Practical Nurse | 2007-11-21 ~ 2008-08-31 |
Georgia M Moffat | 118 Pine St, Wellsville, NY 14895-1433 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Bradley J Phillips | 21 Osborne St, Wellsville, NY 14895-1628 | Tv & Radio Limited Dish Antenna Technician | 2009-09-01 ~ 2010-08-31 |
William A Garrison | 2934 Hawks Rd, Wellsville, NY 14895-9437 | Tv & Radio Limited Dish Antenna Technician | ~ |
Rand W Rocchio | 3128 Andover Rd, Wellsville, NY 14895-9551 | Tv & Radio Limited Dish Antenna Technician | 2009-11-30 ~ 2010-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Krista Hinman | 212 Main St, Wellsville, KS 66092-8523 | Registered Nurse | 2019-09-27 ~ 2020-05-31 |
City | WELLSVILLE |
Zip Code | 14895 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WELLSVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander M. Berry | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
Eric A Hughes | 28 Berry Ln, Lakeville, PA 18438-3024 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Robert W Berry Jr | 2800 Main St, Bridgeport, CT 06606 | Physician/surgeon | 1995-03-08 ~ 1996-05-31 |
Sagine Berry-tony | 33 Church Hill Rd., Newtown, CT 06470 | Physician/surgeon | ~ |
Ayse P Cemeroglu | 4232 Berry Rd, Plymouth, MI 48170-5110 | Physician/surgeon | 2001-08-13 ~ 2002-07-31 |
Claire M Tenny Md | 30 Checker Berry Way, Manchester, NH 03102-4461 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
Irfanullah Yusufzai Md | 4605 Holly Berry Dr, Plano, TX 75093-7008 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Jacques C Raymond | 3151 Berry Lane, Roanoke, VA 24018 | Physician/surgeon | 2000-04-07 ~ 2001-03-31 |
Ross S Kazer | 11676 E Berry Drive, Englewood, CO 80111 | Physician/surgeon | 2005-09-14 ~ 2006-09-30 |
David Q Mcardle | 16567 E Berry Lane, Aurora, CO 80015 | Physician/surgeon | 1981-01-01 ~ 1994-01-31 |
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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).