JONATHAN BERGER MD (Credential# 540750) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 12, 1998. The license expiration date date is March 31, 1999. The license status is INACTIVE.
JONATHAN BERGER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013470. The credential type is physician/surgeon. The effective date is January 12, 1998. The expiration date is March 31, 1999. The business address is 300 Hebron Avenue, Glastonbury, CT 06033. The current status is inactive.
Licensee Name | JONATHAN BERGER MD |
Business Name | Radiology & Imaging |
Credential ID | 540750 |
Credential Number | 1.013470 |
Credential Type | Physician/Surgeon |
Business Address |
300 Hebron Avenue Glastonbury CT 06033 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1968-06-21 |
Effective Date | 1998-01-12 |
Expiration Date | 1999-03-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
151026 | CSP.0008454 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | 300 Hebron Avenue |
City | Glastonbury |
State | CT |
Zip Code | 06033 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajnish Tandon Md | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Naimetulla A Syed | 300 Hebron Avenue, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Evan Fox | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Mark T Stuart | 300 Hebron Avenue, Glastonbury, CT 06033 | Dentist | 2010-05-01 ~ 2011-06-08 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06033 |
City | Glastonbury |
Zip Code | 06033 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Glastonbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Lyman B Fogg Md · Radiology & Imaging | 31 Irene Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Vivian I Miller Md · Radiology and Imaging | 1350 Main St Ste 1007, Springfield, MA 01103-1664 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kuo H Chao | Westchester Pet and Medical Imaging, Hawthorne, NY 10532 | Physician/surgeon | ~ |
Nicholas G Stephani | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | ~ |
Sean P Murray | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
Fred Van Natta | Imaging On Call, PC, Poughkeepsie, NY 12603 | Physician/surgeon | 2008-10-09 ~ 2009-11-30 |
Abbe D Mendlowitz | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Matthew J Hoffman | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | 2008-10-29 ~ 2009-12-31 |
Faranak S Tafazoli | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
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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).