ELLISON BERNS MD (Credential# 547350) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ELLISON BERNS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028734. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1000 Asylum Ave Ste 3206, Hartford, CT 06105-1702. The current status is active.
| Licensee Name | ELLISON BERNS MD |
| Business Name | UCONN HEALTH CENTER |
| Credential ID | 547350 |
| Credential Number | 1.028734 |
| Credential Type | Physician/Surgeon |
| Business Address |
1000 Asylum Ave Ste 3206 Hartford CT 06105-1702 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-12-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154141 | CSP.0015892 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1000 ASYLUM AVE STE 3206 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neal Lippman Md | 1000 Asylum Ave Ste 3206, Hartford, CT 06105-1702 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Rossi | 1000 Asylum Ave Ste 3212, Hartford, CT 06105-1702 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephen F Calderon | 1000 Asylum Ave Ste 3208, Hartford, CT 06105-1702 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ariana Frank | 1000 Asylum Ave Ste 3200, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2019-06-25 ~ 2021-02-28 |
| Bruce Chozick | 1000 Asylum Ave Ste 2107a, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Aron | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard M Newman | 1000 Asylum Ave Ste 4302, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alvaro Oviedo | 1000 Asylum Ave Ste 3207, Hartford, CT 06105-1702 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Michael S Butensky Md | 1000 Asylum Ave Ste 3212, Hartford, CT 06105-1702 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie A Hull | 1000 Asylum Ave Ste 3212, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Valerie Pereira Liang | 1000 Asylum Ave Ste 3200, Hartford, CT 06105-1702 | Controlled Substance Registration for Practitioner | 2018-01-31 ~ 2019-02-28 |
| Find all Licenses in zip 06105-1702 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Arnold Md · University of Conn Health Center | Uconn Health Center, Farmington, CT 06030-3101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Uconn Health Center · Gary Gollan | Uconn School of Medicine/ess, Farmington, CT 06030-1830 | Controlled Substance Laboratory | 2002-02-01 ~ 2003-01-31 |
| Uconn Health Center · Robert S Dixon Dvm | Center for Lab Animal Care, Farmington, CT 06030 | Controlled Substance Laboratory | 1992-02-07 ~ 1993-01-31 |
| David J Black Md | Uconn Health Center, Hartford, CT 06112 | Physician/surgeon | 1998-01-21 ~ 1999-03-31 |
| Harry H Chen Md | Uconn Health Center, Farmington, CT 06030 | Physician/surgeon | 1998-06-03 ~ 1999-07-31 |
| Andrea Apter Md | Uconn Health Center, Farmington, CT 06030 | Physician/surgeon | 1998-04-21 ~ 1999-06-30 |
| James E C Walker Md | Uconn Health Center, Farmington, CT 06030-5215 | Physician/surgeon | 2005-07-25 ~ 2006-09-30 |
| James Robinson Md | Uconn Health Center, Farmington, CT 06032 | Physician/surgeon | 1996-01-29 ~ 1997-02-28 |
| John K Menoutis Md | Uconn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lavern A Wright Md | Uconn Health Center, Farmington, CT 06030-5215 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ELLISON BERNS MD.
| 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).