LYNN E SOSA-BERGERON (Credential# 561274) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
LYNN E SOSA-BERGERON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043692. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 54 Saunders Dr, Niantic, CT 06357-2701. The current status is active.
| Licensee Name | LYNN E SOSA-BERGERON |
| Credential ID | 561274 |
| Credential Number | 1.043692 |
| Credential Type | Physician/Surgeon |
| Business Address |
54 Saunders Dr Niantic CT 06357-2701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-08-01 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 444922 | CSP.0039548 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-07-24 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 54 SAUNDERS DR |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-2701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan B Sosa | 267 William Street, Middletown, CT 06457 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Icelini Garcia-sosa | 286 President St Apt 4, Brooklyn, NY 11231-4654 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Julie A Sosa Md | 30 Old Orchard Road, North Haven, CT 06473 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Warlyn Eugenio Sosa Popoteur | 9800 S Healthpark Drive, Fort Myers, FL 33908 | Physician/surgeon | ~ |
| Paul P Bergeron | 2 Northdale Ter, West Roxbury, MA 02132-5514 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
| Richard E Bergeron · Bergeron Excavating | 262 Baxter St, Tolland, CT 06084 | Sub-surface Sewage Installer | 2019-11-01 ~ 2020-10-31 |
| Tyler R Bergeron · Bergeron Builders | 7 School St, Granby, MA 01033 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Jorge O Sosa · Sosa Design Group | 826 Broadway, New York, NY 10003 | Architect | 2014-09-10 ~ 2015-07-31 |
| Edvin Sosa · E. Sosa Construction Co | 3 Leslie St, Stamford, CT 06902-4611 | Home Improvement Contractor | 2012-06-12 ~ 2012-11-30 |
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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).