NIELS E BERG (Credential# 562347) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2011. The license expiration date date is August 31, 2012. The license status is INACTIVE.
NIELS E BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044765-DO. The credential type is physician/surgeon. The effective date is September 1, 2011. The expiration date is August 31, 2012. The business address is 104 Bayberry Hill Road, Ridgefield, CT 06877. The current status is inactive.
| Licensee Name | NIELS E BERG |
| Credential ID | 562347 |
| Credential Number | 1.044765-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
104 Bayberry Hill Road Ridgefield CT 06877 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-09-15 |
| Effective Date | 2011-09-01 |
| Expiration Date | 2012-08-31 |
| Refresh Date | 2012-12-05 |
| Street Address | 104 Bayberry Hill Road |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Niels M Dua Md | 10 Fenwick Dr, Farmington, CT 06032 | Physician/surgeon | 2002-05-06 ~ 2003-06-30 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Clifford Berg | 15b Linden Ave, Branford, CT 06405 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gerald R Berg | 17a Harbour Village, Branford, CT 06405 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
| Larry Berg · Larry Berg Drywall Inc | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 1996-08-02 ~ 1996-11-30 |
| Joel Berg · Berg Contracting | Po Box 147, Fitzwilliam, NH 03447-0147 | Home Improvement Contractor | 2016-10-03 ~ 2017-11-30 |
| Ben Berg · Berg Hardwood Flooring | Po Box 673, New Hartford, CT 06057-0673 | Home Improvement Contractor | 2013-04-23 ~ 2013-11-30 |
| Brenda Berg · Berg | 104 Ridgewood Acres, Thomaston, CT 06787-1037 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Larry Berg Drywall Inc | 270 Newton Rd, Northfield, CT 06778 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
Please comment or provide details below to improve the information on NIELS E BERG.
| 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).