RICHARD A BERGEN (Credential# 1792291) is licensed (Emergency Medical Service Instructor) with Connecticut Department of Consumer Protection. The license effective date is October 23, 2019. The license expiration date date is September 30, 2022. The license status is ACTIVE.
RICHARD A BERGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #73.001815. The credential type is emergency medical service instructor. The effective date is October 23, 2019. The expiration date is September 30, 2022. The business address is 200 John Olds Dr Apt 212, Manchester, CT 06042-8809. The current status is active.
| Licensee Name | RICHARD A BERGEN |
| Credential ID | 1792291 |
| Credential Number | 73.001815 |
| Credential Type | Emergency Medical Service Instructor |
| Business Address |
200 John Olds Dr Apt 212 Manchester CT 06042-8809 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-23 |
| Effective Date | 2019-10-23 |
| Expiration Date | 2022-09-30 |
| Refresh Date | 2019-10-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 880291 | 72.002084 | Paramedic | 2006-02-21 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 843696 | 70.003963 | Emergency Medical Technician | 2003-09-03 | 2005-03-15 - 2007-03-31 | INACTIVE |
| 818167 | 69.000744 | Emergency Medical Responder | 2000-09-05 | 2002-07-26 - 2004-06-30 | INACTIVE |
| Street Address | 200 JOHN OLDS DR APT 212 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8809 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiffany N Jack | 200 John Olds Dr Apt 207, Manchester, CT 06042-8809 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Emergency Medical Service Instructor |
| License Type + County | Emergency Medical Service Instructor + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard C Baumblatt | 21 Friendly Rd, Norwalk, CT 06851-3107 | Emergency Medical Service Instructor | 2019-03-20 ~ 2022-03-31 |
| Richard L Judd | 119 Ten Acre Rd, New Britain, CT 06052-1575 | Emergency Medical Service Instructor | 2017-08-29 ~ 2020-04-01 |
| Richard A Sanders | 60 Wright Rd, Canterbury, CT 06331-1130 | Emergency Medical Service Instructor | 2019-11-12 ~ 2022-09-30 |
| Richard G Lennon | 15 Butternut Rd, North Branford, CT 06471 | Emergency Medical Service Instructor | 2020-02-05 ~ 2022-03-31 |
| Richard L Snider | 80 Blueberry Hill Rd, Groton, CT 06340-4502 | Emergency Medical Service Instructor | 2012-07-03 ~ 2015-04-01 |
| Richard E Koch | 15 Forest Hill Rd, Norwalk, CT 06850-4306 | Emergency Medical Service Instructor | 2020-03-23 ~ 2022-03-31 |
| Richard G Antonelli | 47 Ogden Lord Rd, Marlborough, CT 06447-1530 | Emergency Medical Service Instructor | 2019-04-17 ~ 2022-03-31 |
| Matthew S Zavadsky | C/o Ace Amb. Service, P.o. Box 277, Fairfield, CT 06430-7011 | Emergency Medical Service Instructor | ~ 1996-04-01 |
| Robert Lay | 13 Hither Ln, Harwinton, CT 06791-2331 | Emergency Medical Service Instructor | 2020-05-26 ~ 2022-03-31 |
| Al F Torizzo | Po Box 45, Goshen, CT 06756-0045 | Emergency Medical Service Instructor | 2018-09-24 ~ 2021-04-01 |
Please comment or provide details below to improve the information on RICHARD A BERGEN.
| 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).