PHILLIP E BERG (Credential# 786785) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 25, 2001. The license expiration date date is November 1, 2006. The license status is INACTIVE.
PHILLIP E BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000644. The credential type is physical therapist assistant. The effective date is July 25, 2001. The expiration date is November 1, 2006. The business address is 53 Parker St. C111, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | PHILLIP E BERG |
| Credential ID | 786785 |
| Credential Number | 63.000644 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
53 Parker St. C111 Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-07-25 |
| Effective Date | 2001-07-25 |
| Expiration Date | 2006-11-01 |
| Refresh Date | 2009-07-08 |
| Street Address | 53 Parker St. C111 |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madison Nora Berg | 881 Pike Ave, Attleboro, MA 02703-5323 | Physical Therapist Assistant | 2018-10-11 ~ 2019-09-30 |
| Phillip L Miller | 555 Saw Mill Rd., West Haven, CT 06516 | Physical Therapist Assistant | ~ 2006-11-01 |
| Phillip J Leblanc | 28 Race Brook Rd, West Hartford, CT 06107 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Elisabeth K Berg | 25 Broad Street Ext, Groton, CT 06340 | Occupational Therapist Assistant | 2003-05-30 ~ 2005-07-31 |
| 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 |
| Phyllis Berg | 6004 Westchester Pk, College Park, MD 20740 | Physical Therapist | 2003-03-10 ~ 2004-03-31 |
| Gary E Berg · Berg Co | 8 Wilcox Manor, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-07-01 |
| Phillip E Garrett | 111 Pinesbridge Rd, Ossining, NY 10562-1705 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on PHILLIP 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).