SHELLEY BERSON
Physician/surgeon


Address: 106 Mcintosh Dr, Mahwah, NJ 07430-3206

SHELLEY BERSON (Credential# 1267226) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SHELLEY BERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053904. The credential type is physician/surgeon. The effective date is March 1, 2016. The expiration date is February 28, 2017. The business address is 106 Mcintosh Dr, Mahwah, NJ 07430-3206. The current status is inactive.

Basic Information

Licensee Name SHELLEY BERSON
Credential ID 1267226
Credential Number 1.053904
Credential Type Physician/Surgeon
Business Address 106 Mcintosh Dr
Mahwah
NJ 07430-3206
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-03-11
Effective Date 2016-03-01
Expiration Date 2017-02-28
Refresh Date 2017-06-03

Office Location

Street Address 106 MCINTOSH DR
City MAHWAH
State NJ
Zip Code 07430-3206

Licenses in the same zip code

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Foods By George · Foods By George LLC 3 King St, Mahwah, NJ 07430 Bakery 2019-07-01 ~ 2020-06-30
Frank Sabatini 216 West Ramapo Avenue, Mahwah, NJ 07430 Professional Engineer 2020-02-01 ~ 2021-01-31
Ashok K Gupta 10 Karen Dr, Mahwah, NJ 07430 Professional Engineer 2020-02-01 ~ 2021-01-31
Cindy L Ferestien 71 Cummings Ct, Mahwah, NJ 07430 Registered Nurse 2018-12-18 ~ 2019-09-30
Erkan Erden 312 Ramapo Valley Road, Mahwah, NJ 07430 Repairer of Weighing & Measuring Devices 2020-01-01 ~ 2020-12-31
Antonio T Valente 11 Blossom Lane, Mahwah, NJ 07430 Land Surveyor 2020-02-01 ~ 2021-01-31
Steven Napolitano 9 Victoria Lane, Mahwah, NJ 07430 Professional Engineer 2020-02-01 ~ 2021-01-31
Richard Silberberg 9 Litchult Lane, Mahwah, NJ 07430 Notary Public Appointment 2002-04-01 ~ 2007-04-30
Susan Nabors Jenkins 1337 Lavender Ct, Mahwah, NJ 07430 Notary Public Appointment 1996-12-01 ~ 2001-11-30
Deborah Duffy 47 Glenmere Terrace, Mahwah, NJ 07430 Notary Public Appointment 2004-07-01 ~ 2009-06-30
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City MAHWAH
Zip Code 07430
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MAHWAH

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Gabriela Shelley 306 Audubon Court, New Haven, CT 06510 Physician/surgeon 1993-01-25 ~ 1994-02-28
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Dataset Information

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).

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