GILBERT T BERGENDAHL MD (Credential# 540035) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 18, 1997. The license expiration date date is April 30, 1998. The license status is INACTIVE.
GILBERT T BERGENDAHL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011544. The credential type is physician/surgeon. The effective date is February 18, 1997. The expiration date is April 30, 1998. The business address is Evergreen Valley Farm, N Franklin, CT 06254. The current status is inactive.
| Licensee Name | GILBERT T BERGENDAHL MD |
| Credential ID | 540035 |
| Credential Number | 1.011544 |
| Credential Type | Physician/Surgeon |
| Business Address |
Evergreen Valley Farm N Franklin CT 06254 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1963-12-11 |
| Effective Date | 1997-02-18 |
| Expiration Date | 1998-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151019 | CSP.0003416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | EVERGREEN VALLEY FARM |
| City | N FRANKLIN |
| State | CT |
| Zip Code | 06254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teresa E Koning | 222 Baltic Road, Franklin, CT 06254 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Jessie C Laudette | 23 Thompson Road, North Franklin, CT 06254 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Aen Asphalt Inc | 45 Lebanon Rd, Franklin, CT 06254 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dunkin Donuts | 96 Rte 32, Franklin, CT 06254 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Suzanne E Girardin | 161 Pleasure Hill Road, Franklin, CT 06254 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Holton Road | 86 Holton Road, North Franklin, CT 06254 | Public Community Living Arrangement | 2020-01-01 ~ 2021-12-31 |
| Gabriel Abella Md | 82 New Park Ave, Franklin, CT 06254 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Deborah E Childs | 102 Kahn Road, North Franklin, CT 06254 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara M Nichols | 86 Eager Road, North Franklin, CT 06254 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Tammie L Hyde | 137 Lebanon Rd, Franklin, CT 06254 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06254 | |||
| City | N FRANKLIN |
| Zip Code | 06254 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + N FRANKLIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Gilbert B Solitare | 2 Candlewood Dr, Madison, NJ 07940 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexis H Kim | 610 Gilbert Ave, Menlo Park, CA 94025 | Physician/surgeon | 1994-08-02 ~ 1995-09-30 |
| Gilbert J Rose Md | 25 Sammis St, Rowayton, CT 06853 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Gilbert Z Herzberg | 8 Collidge St, Larchmont, NY 10538 | Physician/surgeon | 2002-09-26 ~ 2003-06-30 |
| Gilbert R Rowan | 6 Evergreen Ave, Wilton, CT 06897 | Physician/surgeon | 1995-09-28 ~ 1996-04-16 |
| Gilbert B Schumann | C/o Dianon, Stratford, CT 06615 | Physician/surgeon | 2004-03-02 ~ 2005-04-30 |
| Bruce S Aldred Md | 651 Gilbert Ave, Hamden, CT 06514 | Physician/surgeon | 1998-12-08 ~ 2000-02-29 |
| Richard D Gilbert | 87 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gilbert H Maulsby | 5400 Kennedy Ave, Cincinnati, OH 45213 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).