PHYLLIS BERG (Credential# 687758) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.
PHYLLIS BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001021. The credential type is physical therapist. The effective date is March 10, 2003. The expiration date is March 31, 2004. The business address is 6004 Westchester Pk, College Park, MD 20740. The current status is inactive.
| Licensee Name | PHYLLIS BERG |
| Credential ID | 687758 |
| Credential Number | 14.001021 |
| Credential Type | Physical Therapist |
| Business Address |
6004 Westchester Pk College Park MD 20740 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1967-09-13 |
| Effective Date | 2003-03-10 |
| Expiration Date | 2004-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 6004 WESTCHESTER PK |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Kirchknopf | 5917 Berwyn Road, Berwyn Heights, MD 20740 | Emergency Medical Technician | 2008-03-31 ~ 2010-01-01 |
| Felipe M Dimayuga | 5800 Goucher Dr, College Park, MD 20740 | Physician/surgeon | 1998-01-02 ~ 1998-09-30 |
| Beverly M Rudder | 8506 49th Avenue, College Park, MD 20740-2412 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Association for India's Development Inc | 5011 Tecumseh St, Berwyn Heights, MD 20740-4125 | Public Charity | 2019-05-24 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Felicia J Phillip | 5930 Raventree Ct, College Park, GA 30349-1681 | Registered Nurse | 2020-04-01 ~ 2021-04-30 |
| Cynthia R Hudson | 2646 Lantern Lane, College Park, GA 30349 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Deborah D Harris | 3361 Amhurst Pkwy, College Park, GA 30349-7901 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Ashley Danielle Benson | 2889 Karen Road, College Park, GA 30337 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Hazel D Manatsa | 2330 Shancey Lane, College Park, GA 30349 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Willie A Noble Jr · Armco Atlantic Inc | 3190 Keenan Court W, College Park, GA 30349 | Professional Engineer | 1988-01-26 ~ 1989-01-31 |
| Shannon B Jackson | 6485 Snowden Dr, College Park, GA 30349-1494 | Registered Nurse | 2013-11-01 ~ 2014-10-31 |
| Mavis E Watson | 4824 Buckeye Pl, College Park, GA 30349-7025 | Licensed Practical Nurse | 2011-12-01 ~ 2012-11-30 |
| Barbara E Crane | 4635 Yates Rd, College Park, GA 30337 | Registered Nurse | 1992-08-26 ~ 1993-07-31 |
| Nancy K Paul | Po Box 490669, College Park, GA 30349 | Registered Nurse | 1993-09-23 ~ 1994-08-31 |
| Find all Licenses in COLLEGE PARK | |||
| City | COLLEGE PARK |
| Zip Code | 20740 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + COLLEGE PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Breanna M Berg | 270 Newton Rd, Northfield, CT 06778-2304 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Lauren Van De Berg | 79 West Street, Windsor, CT 06095 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| James P Berg | 22 Jensen Farm Rd., Oxford, CT 06478 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Phillip E Berg | 53 Parker St. C111, Wallingford, CT 06492 | Physical Therapist Assistant | 2001-07-25 ~ 2006-11-01 |
| Madison Nora Berg | 881 Pike Ave, Attleboro, MA 02703-5323 | Physical Therapist Assistant | 2018-10-11 ~ 2019-09-30 |
| Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
| Phyllis M Neary | 40 Ferndale Rd, Easton, CT 06612 | Physical Therapist | 2002-07-22 ~ 2003-09-30 |
| Phyllis G Robinson | Po Box 88, Canaan, CT 06018-0088 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Phyllis King | 131 Rockford Pl, Danville, VA 24540 | Physical Therapist | 2003-12-11 ~ 2005-01-31 |
| Phyllis T Anderson | 13-b Thompson Ave, Westerly, RI 02891 | Physical Therapist | 2015-08-01 ~ 2016-07-31 |
Please comment or provide details below to improve the information on PHYLLIS 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).