BRADFORD S CHERVIN (Credential# 555177) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BRADFORD S CHERVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037587. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2600 Post Road, Southport, CT 06890. The current status is active.
| Licensee Name | BRADFORD S CHERVIN |
| Credential ID | 555177 |
| Credential Number | 1.037587 |
| Credential Type | Physician/Surgeon |
| Business Address |
2600 Post Road Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-19 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 216306 | CSP.0028384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-06-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2600 POST ROAD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sasco Hill Surgery Center | 2600 Post Road, Southport, CT 06890 | Out-patient Surgical Facility | 2019-10-03 ~ 2021-09-30 |
| Nirmala L Monteiro Md | 2600 Post Road, Southport, CT 06890 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Pamela E Jackson Md | 2600 Post Road, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Reynolds | 2600 Post Road, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles L Mellinger IIi | 2600 Post Road, Southport, CT 06490 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William A Dasilva · Southport Brewing Company | 2600 Post Road, Southport, CT 06490 | Caterer | 2013-09-14 ~ 2014-09-13 |
| Connie C Seo | 2600 Post Road, Southport, CT 06890 | Chiropractor | 2008-12-26 ~ 2010-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann M Rasmusson Md | 36 Bradford St # 2, Boston, MA 02118-2119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bradford Frank | 48 Stratton Way, Branford, CT 06405 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
| Paul B Koehler | Rr01 Box 250 H, Bradford, NH 03221 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Erika D Bradford | 69 Bayview Ave, Berkley, MA 02779 | Physician/surgeon | 2008-06-30 ~ 2009-08-31 |
| Kenneth A Bradford | 362 Country Lane, Orange, CT 06477 | Physician/surgeon | 2004-02-24 ~ 2005-02-28 |
| John L Kniaz | 17 Bradford Lane, Oak Brook, IL 60521 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
| Primla H Fazaluddin | 74 Bradford Walk, Farmington, CT 06032-4532 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Bradford C Lavigne Md | 45 Wells St Suite #103, Westerly, RI 02891 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Maria Baiulescu | 124 Bradford Walk, Farmington, CT 06032 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Bradford Wolk Md | 384-k Merrow Road, Tolland, CT 06084 | Physician/surgeon | 2004-03-15 ~ 2005-03-31 |
Please comment or provide details below to improve the information on BRADFORD S CHERVIN.
| 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).