BERNARD LAVERGNE MD (Credential# 539903) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 14, 2005. The license expiration date date is August 31, 2006. The license status is INACTIVE.
BERNARD LAVERGNE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011123. The credential type is physician/surgeon. The effective date is July 14, 2005. The expiration date is August 31, 2006. The business address is 4 Chanticleer Ln, Old Lyme, CT 06371. The current status is inactive.
| Licensee Name | BERNARD LAVERGNE MD |
| Credential ID | 539903 |
| Credential Number | 1.011123 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Chanticleer Ln Old Lyme CT 06371 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1962-10-24 |
| Effective Date | 2005-07-14 |
| Expiration Date | 2006-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160552 | CSP.0018515 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 4 CHANTICLEER LN |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernest J Lavergne · Lavergne Electric | Po Box 302, Thomaston, CT 06787-0302 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Bernard Nolan | Po Box 733, Lancaster, OH 43130 | Physician/surgeon | 2001-04-09 ~ 2002-05-31 |
| Bernard Brass | 25 Willard Rd, Brookline, MA 02445-4203 | Physician/surgeon | ~ |
| J Bernard Gee | 38 Turtle Bay, Branford, CT 06405 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Bernard D Bienstock | 387 Ellsworth Ave, New Haven, CT 06511 | Physician/surgeon | 1994-07-28 ~ 1995-07-31 |
| Bernard Ghelman | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2015-05-01 ~ 2016-05-31 |
| Bernard Cieniawa Do | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Bernard Cohen | 95 Wiltshire Rd, Scarsdale, NY 10583-4561 | Physician/surgeon | 2006-07-07 ~ 2007-08-31 |
| Bernard T. D'souza | 50 Frances Ct, Cheshire, CT 06410-2600 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bernard D Zuckerman | 6 Forest Trl, Woodbridge, CT 06525-1424 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).