KRISTINE M BERG (Credential# 775860) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.
KRISTINE M BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003026. The credential type is occupational therapist. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 22 Jensen Farm Rd, Oxford, CT 06478-2723. The current status is active.
| Licensee Name | KRISTINE M BERG |
| Credential ID | 775860 |
| Credential Number | 48.003026 |
| Credential Type | Occupational Therapist |
| Business Address |
22 Jensen Farm Rd Oxford CT 06478-2723 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-04-01 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 777140 | 49.000827 | Occupational Therapist Assistant | 2001-07-17 | 2003-08-04 - 2005-07-31 | INACTIVE |
| Street Address | 22 JENSEN FARM RD |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-2723 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicolette V Lachance-butler | 4 Jensen Farm Rd, Oxford, CT 06478-2723 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin N Desombre | 12 Jensen Farm Rd, Oxford, CT 06478-2723 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Maria L Castelot | 10 Jensen Farm Rd, Oxford, CT 06478-2723 | Hairdresser/cosmetician | 2019-02-01 ~ 2021-01-31 |
| Blue Real Estate LLC | 18 Jensen Farm Rd, Oxford, CT 06478-2723 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Jason P Desombre | 12 Jensen Farm Rd, Oxford, CT 06478-2723 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Rita Blue | 18 Jensen Farm Rd, Oxford, CT 06478-2723 | Real Estate Broker | 2004-04-01 ~ 2005-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
| Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06478 | |||
| City | OXFORD |
| Zip Code | 06478 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + OXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefanie Berg Rakoczy | 39 Greenbrier Rd., Trumbull, CT 06611 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Elisabeth K Berg | 25 Broad Street Ext, Groton, CT 06340 | Occupational Therapist Assistant | 2003-05-30 ~ 2005-07-31 |
| Kristine E Johnson | Po Box 40805, Providence, RI 02940-0805 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Kristine M Beaulieu | 8 Field Dr, Simsbury, CT 06070-1208 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Kristine E Munn | 17 Fairview Rd., Brookfield, CT 06804 | Occupational Therapist | 2001-06-22 ~ 2003-07-31 |
| Kristine Gableson | 5845 Richmond Hwy, Alexandria, VA 22303 | Occupational Therapist | ~ 1997-07-31 |
| Kristine Margaret Moran | 218 Palentown Road, Kerhonkson, NY 12446 | Occupational Therapist Assistant | ~ |
| Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
| Kristine Marie Dipasquale | 107 Buckley Hill Rd, North Grosvenordale, CT 06255-1825 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kristine M Desautels | 1143 Windham Rd, South Windham, CT 06266-1133 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KRISTINE M 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).