JOSEPH F BERLENBACH (Credential# 742002) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JOSEPH F BERLENBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000253. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 20 Murphy Ln, Southbury, CT 06488-2760. The current status is active.
| Licensee Name | JOSEPH F BERLENBACH |
| Credential ID | 742002 |
| Credential Number | 23.000253 |
| Credential Type | Physician Assistant |
| Business Address |
20 Murphy Ln Southbury CT 06488-2760 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-29 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161925 | CSP.0021642 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 20 MURPHY LN |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2760 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Christy Joseph | 5 Maidstone Ln, Monroe, NY 10950-3052 | Physician Assistant | ~ |
| Joseph Downs | 2 Savelle Rd Apt A, Ansonia, CT 06401-1320 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph L Kaplowe | 685 Pequot Ave, New London, CT 06320-4229 | Physician Assistant | 2018-11-01 ~ 2019-04-29 |
| Donald Dailey Pa | 112 Joseph St, Waterbury, CT 06705 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Joseph M Cumpelik Pa | 18 L'hermitage Dr, Shelton, CT 06484 | Physician Assistant | 2006-04-27 ~ 2007-05-31 |
| Joseph P Kocot | 155 Windermere Ave, Ellington, CT 06029 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joseph Carl Vanderhyde | 85 Retreat Ave, Hartford, CT 06106-2555 | Physician Assistant | ~ |
| Joseph E Healy | 9 Iriquois, Lanesboro, MA 01237 | Physician Assistant | 2005-11-21 ~ 2007-01-31 |
| Joseph M Chappell | 6 Terrace Cir, Enfield, CT 06082-2528 | Physician Assistant | 2017-04-01 ~ 2018-03-31 |
Please comment or provide details below to improve the information on JOSEPH F BERLENBACH.
| 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).