RANDY D BERKE MD (Credential# 156140) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RANDY D BERKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015472. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 52 Blue Ridge Drive, Weatogue, CT 06089. The current status is active.
| Licensee Name | RANDY D BERKE MD |
| Credential ID | 156140 |
| Credential Number | CSP.0015472 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
52 Blue Ridge Drive Weatogue CT 06089 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547113 | 1.028344 | Physician/Surgeon | 1987-07-24 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 52 BLUE RIDGE DRIVE |
| City | Weatogue |
| State | CT |
| Zip Code | 06089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | Weatogue |
| Zip Code | 06089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Weatogue |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven L Berke | 130 New London Tpke, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Randy D Gordon Dds | 21 Adams Rd, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Randy L Schulman Od | 444 Westport Ave, Norwalk, CT 06851-4481 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy J Greenberg | 150 South Turnpike Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy S Rich Md | 84 Hawthorne Avenue, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Randy L Olson | 8502 Driftwood Hl, San Antonio, TX 78255-2244 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kaitlin A Balestriere | 11 Randy Road, Milford, CT 06461 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy R Shaver Aprn | 312 N.e. Golfview Cir, Stuart, FL 34996-1637 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy Stein Md | 210 Westchester Ave, White Plains, NY 10604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Randy H Lichtman Dds | 921 Boston Turnpike, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 2009-03-20 ~ 2011-02-28 |
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| 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).