GLEN W BERGER (Credential# 550102) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 19, 1996. The license expiration date date is December 31, 1997. The license status is INACTIVE.
GLEN W BERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032495. The credential type is physician/surgeon. The effective date is December 19, 1996. The expiration date is December 31, 1997. The business address is 595 Chestnut Ridge, Woodcliff Lake, NJ 07675. The current status is inactive.
Licensee Name | GLEN W BERGER |
Credential ID | 550102 |
Credential Number | 1.032495 |
Credential Type | Physician/Surgeon |
Business Address |
595 Chestnut Ridge Woodcliff Lake NJ 07675 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-08-07 |
Effective Date | 1996-12-19 |
Expiration Date | 1997-12-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160215 | CSP.0020357 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-06-24 - 1996-07-01 | INACTIVE |
Street Address | 595 CHESTNUT RIDGE |
City | WOODCLIFF LAKE |
State | NJ |
Zip Code | 07675 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jose I Carballo | 39 Leonard Dr, Old Tappan, NJ 07675 | Architect | 2020-08-01 ~ 2021-07-31 |
Melissa S Starr | 605 Forest Drive, River Vale, NJ 07675 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Razel Dy | 17 Glen Ct, Westwood, NJ 07675 | Registered Nurse | 2020-04-15 ~ 2021-01-31 |
Variant Services Inc | 85 Carver Avenue, Westwood, NJ 07675 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
Cesar Mora | 171 3rd Avenue, Westwood, NJ 07675 | Notary Public Appointment | 2018-08-27 ~ 2023-08-31 |
John Ferrara | 609 Woodland Court, River Vale, NJ 07675 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
Heather Turner | 21 Brickell Ave., Westwood, NJ 07675 | Physical Therapist | 2018-08-01 ~ 2019-07-31 |
Keith R. Scaglione | 79 Beech Street, Westwood, NJ 07675 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
William J Martin | 25 Boulevard, Westwood, NJ 07675 | Architect | 2019-08-01 ~ 2020-07-31 |
Augusto Morpurgo | 36 Mill Rd Ext, Woodcliff Lake, NJ 07675 | Architect | 2019-08-01 ~ 2020-07-31 |
Find all Licenses in zip 07675 |
City | WOODCLIFF LAKE |
Zip Code | 07675 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODCLIFF LAKE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert H Berger Md | 116 Compo Rd S, Westport, CT 06880-5009 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Ronald O Berger | 179 Ledge Dr, Torrington, CT 06790-2241 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Elizabeth Ann Berger | 170 Woodland Dr, Cromwell, CT 06416-1162 | Physician/surgeon | 1980-12-02 ~ 1982-12-31 |
Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
Gary S Berger | 114 E 71st St Ste 1w, New York, NY 10021-5038 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Alpesh A Patel | 2315 Glen St., Glen Cove, NY 11542 | Physician/surgeon | 2008-04-08 ~ 2008-06-30 |
Himati Parag Patel | 4565 Paxton Glen Dr, Glen Allen, VA 23059-7168 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Raymond G Haddad | 5000 Harvest Glen Court, Glen Allen, VA 23059 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Scott R Berger | 62 Jacobs Hill Rd, Mansfield, CT 06250 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).