GLEN W BERGER
Physician/surgeon


Address: 595 Chestnut Ridge, Woodcliff Lake, NJ 07675

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
160215 CSP.0020357 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-06-24 - 1996-07-01 INACTIVE

Office Location

Street Address 595 CHESTNUT RIDGE
City WOODCLIFF LAKE
State NJ
Zip Code 07675

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Competitor

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City WOODCLIFF LAKE
Zip Code 07675
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODCLIFF LAKE

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Dataset Information

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).

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