ALISA M.D. BERGER (Credential# 446390) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
ALISA M.D. BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039948. The credential type is controlled substance registration for practitioner. The effective date is March 28, 2007. The expiration date is February 29, 2008. The business address is 263 Farmington Ave Mc 3955, Farmington, CT 06030-3955. The current status is inactive.
| Licensee Name | ALISA M.D. BERGER |
| Credential ID | 446390 |
| Credential Number | CSP.0039948 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Mc 3955 Farmington CT 06030-3955 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-09-13 |
| Effective Date | 2007-03-28 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| Street Address | 263 FARMINGTON AVE MC 3955 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-3955 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam T. Tyson | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Xuan M Luu Md | 263 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-06-07 ~ 2015-02-28 |
| Andrew S Nisbet | 262 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Carl K Gjertson | Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter C Albertsen | Uconn Health Center, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce M Brenner | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael S Dahn Md | Uconn Health Ctr, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kiranmayi Muddasani | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-04-26 ~ 2015-02-28 |
| Jeffrey Wu | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Physician/surgeon | 2012-10-25 ~ 2013-07-31 |
| Sarah D Treter | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2011-06-15 ~ 2013-02-28 |
| Find all Licenses in zip 06030-3955 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alisa Uysal | 700 First St., Apt 8j, Hoboken, NJ 07030 | Controlled Substance Registration for Practitioner | 2016-01-20 ~ 2017-02-28 |
| Alisa Savetamal | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alisa B Bray | 257 Back Rd, Windham, CT 06280 | Controlled Substance Registration for Practitioner | 2019-10-16 ~ 2021-02-28 |
| Alisa J Newman | 1371 Velvet Creek Ct Sw, Marietta, GA 30008-7628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antoni Berger Md | 211 New Britain Rd Ste 104, Berlin, CT 06037-3167 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Berger Md | 62 Sumner Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eric H Berger Md | 121 Whitney Ave Ste 420, New Haven, CT 06510-1242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alisa Lyudmila Da Costa-rodrigues | 201 Simsbury Rd, West Hartford, CT 06117-1450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven T Berger Md | 275 Bicentennial Highway, Springfield, MA 01118 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jeremy Joseph Berger | 714 Craigville Rd, Chester, NY 10918-4014 | Controlled Substance Registration for Practitioner | 2019-11-04 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ALISA M.D. 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).