SHANNON C BERGER (Credential# 951920) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHANNON C BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002456. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 9 Colony Dr, Winsted, CT 06098. The current status is active.
| Licensee Name | SHANNON C BERGER |
| Credential ID | 951920 |
| Credential Number | 23.002456 |
| Credential Type | Physician Assistant |
| Business Address |
9 Colony Dr Winsted CT 06098 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 954571 | CSP.0049036 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 847022 | 70.007289 | Emergency Medical Technician | 2006-06-20 | 2006-06-20 - 2008-03-31 | INACTIVE |
| Street Address | 9 Colony Dr |
| City | Winsted |
| State | CT |
| Zip Code | 06098 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter D Carey | 9 Colony Dr, Winsted, CT 06098 | Sub-surface Sewage Installer | 1998-12-04 ~ 1999-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurel City Landscaping | 292 Rockwell St, Winsted, CT 06098 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Michele J Marchi | 94 Sunny Ridge Drive, Winsted, CT 06098 | Real Estate Salesperson | ~ |
| Chris Campbell | 12 Upland Rd, Winsted, CT 06098 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Carla A Lachler | 44 Woodland Avenue, Winsted, CT 06098 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Debra L Majewski · Kosa | 95 Birdsall Street, Winsted, CT 06098 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kathleen M Mcgrane | 107 Standard Avenue, Winsted, CT 06098 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Little Red Barn Brewers | 32 Lake St, Space 1-1, Winsted, CT 06098 | Manufacturer for Beer and Brew Pub | 2019-06-19 ~ 2020-10-18 |
| Usa Hauling & Recycling | 185 Torrington Rd, Winsted, CT 06098 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mde LLC | 127 Rugg Brook Road, Winchester, CT 06098 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mountain Top Trucking | 179 Colebrook River Rd, Winsted, CT 06098 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06098 | |||
| City | Winsted |
| Zip Code | 06098 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Winsted |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly N Berger | 37 Greenwich Hills Dr, Greenwich, CT 06831-4966 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Shannon Brigham | 41 Stanie Brae Dr, Watchung, NJ 07069-6231 | Physician Assistant | ~ |
| Shannon Lambert | 96 Corey Colonial, Agawam, MA 01001-2749 | Physician Assistant | 2011-12-01 ~ 2012-11-30 |
| Shannon Carroll | 184 Summer St Apt 1610, Stamford, CT 06901-2352 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Shannon C Blake Pa | 1217 Tidalwalk Dr, Wilmington, NC 28409 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Shannon Gorton | 2800 Main St, Bridgeport, CT 06606-4201 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Shannon Maxon Pa | 33 Cosey Beach Ave, East Haven, CT 06512-4905 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Erin Kate Shannon | 3240 Monroe Ave, Rochester, NY 14618 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Shannon Marie Keohane | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Christina Berger · Berger Nursery | Po Box 7283, Kensington, CT 06037 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
Please comment or provide details below to improve the information on SHANNON C BERGER.
| 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).