KATHLEEN MARY BERCHELMANN (Credential# 1414382) is licensed (Physician/surgeon) 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.
KATHLEEN MARY BERCHELMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057242. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 711 Silvermine Rd, New Canaan, Ct, CT 06840. The current status is active.
| Licensee Name | KATHLEEN MARY BERCHELMANN |
| Credential ID | 1414382 |
| Credential Number | 1.057242 |
| Credential Type | Physician/Surgeon |
| Business Address |
711 Silvermine Rd New Canaan, Ct CT 06840 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-07 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1468385 | CSP.0067262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 711 Silvermine Rd |
| City | New Canaan, CT |
| State | CT |
| Zip Code | 06840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jacqueline A Harmody | 22 Brinckerhoff Ave, New Canaan, CT 06840 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | New Canaan, CT |
| Zip Code | 06840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Canaan, CT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Mary Kellerman Pa | 11 Saxton Lane, Broad Brook, CT 06016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kathleen Barrett Kay | Po Box 5, Latham, NY 12110-0005 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Kathleen Ann Smulka | 273 Hildegarde Rd, Rochester, NY 14626-2350 | Physician/surgeon | 1992-05-01 ~ 1993-09-30 |
| Kathleen Van Valkenburg | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
| Kathleen A Pajer | 53 Scholl St, Lebanon, NH 03766 | Physician/surgeon | 1986-07-31 ~ 1988-11-30 |
| Kathleen M Kim | Dept. of Psychiatry, Chicago, IL 60612 | Physician/surgeon | 2002-12-09 ~ 2004-01-31 |
| Kathleen Cardinale | 46 Seeley Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kathleen F Maurer Md | 111 Dennison Rd, Westbrook, CT 06498-1457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kathleen J Mcshane Md | 27 Main St, Hebron, CT 06248 | Physician/surgeon | 1998-05-19 ~ 1999-06-30 |
| Kathleen L Ryan | 215 Eastbourne Ter, Moorestown, NJ 08057-2942 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
Please comment or provide details below to improve the information on KATHLEEN MARY BERCHELMANN.
| 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).