LEWIS BERMAN MD (Credential# 548614) 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.
LEWIS BERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030673. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 175 Fairland Drive, Fairfield, CT 06825. The current status is active.
| Licensee Name | LEWIS BERMAN MD |
| Credential ID | 548614 |
| Credential Number | 1.030673 |
| Credential Type | Physician/Surgeon |
| Business Address |
175 Fairland Drive Fairfield CT 06825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-03-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159199 | CSP.0018192 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 175 FAIRLAND DRIVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy J Rennert Md | 175 Fairland Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joel A Berman | 225 Boston St, Lynn, MA 01904 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Michael R Berman Md | 11 Prospect Ct, Woodbridge, CT 06525-1508 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Daniel S Berman | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David H Berman | 1 Little Fox Lane, Westport, CT 06880 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Sidney Berman | C/o Dr. Gerald Flamm, New Haven, CT 06511 | Physician/surgeon | 2005-06-01 ~ 2006-02-28 |
| Lorraine M Wolpert-berman | Southern Pines, NC 28387 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Leonard D Berman | 230 Woodward Street, Waban, MA 02468 | Physician/surgeon | 2001-07-02 ~ 2002-07-31 |
| Robert M Berman | 77 Livingston Street, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jessica R Berman Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2004-05-24 ~ 2005-05-31 |
| Kevin Mark Berman | 1411 Post Oak Dr Apt R, Clarkston, GA 30021-3161 | Physician/surgeon | 1983-10-26 ~ 1984-12-31 |
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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).