MICHELE S BERGEN (Credential# 559788) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
MICHELE S BERGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042206. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Greenwich Medical Building, Greenwich, CT 06830. The current status is approved.
| Licensee Name | MICHELE S BERGEN |
| Credential ID | 559788 |
| Credential Number | 1.042206 |
| Credential Type | Physician/Surgeon |
| Business Address |
Greenwich Medical Building Greenwich CT 06830 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703727 | 2.009275 | Dentist | 2004-03-09 | 2020-07-01 - 2021-06-30 | APPROVED |
| 741731 | 22.008429 | Dental Anesthesia/Conscious Sedation Permit | 2005-02-07 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 366034 | CSP.0034789 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-04-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | GREENWICH MEDICAL BUILDING |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Yueshan Piao | 349 Greenwich Ave, Greenwich, CT 06830 | Nail Technician | ~ |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Weafue Saab | 836 Bergen St Ph 3, Brooklyn, NY 11238-7444 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Uzma Aslam | 330 Bergen Street, Brooklyn, NY 11217 | Physician/surgeon | 2005-08-04 ~ 2006-08-31 |
| Anna Stankiewcz | 5 Bergen Street, Garfield, NJ 07026 | Physician/surgeon | 2007-07-16 ~ 2008-07-31 |
| Robert Walter Lovell | 52 Woodcliff Ave, North Bergen, NJ 07047-6133 | Physician/surgeon | 1989-10-13 ~ 1990-12-31 |
| Catalina Dinu | 7855 Blvd East, North Bergen, NJ 07047 | Physician/surgeon | ~ |
| Safwat F Mosad | 73-13 Danecourt Street, North Bergen, NJ 07047 | Physician/surgeon | 2007-06-01 ~ 2008-06-30 |
| Senator Kwamme Hazelwood | 404 Bergen Ave, Jersey City, NJ 07304 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Jose A Alvarez | 1451 72 Street, North Bergen, NJ 07047 | Physician/surgeon | 2005-11-01 ~ 2006-03-31 |
| Ashish Shah | 1204 84th Street, North Bergen, NJ 07047 | Physician/surgeon | ~ 1996-07-31 |
| Alfred G Bergen · Bergen Builders | 556 Kettletown Road, Southbury, CT 06488 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Please comment or provide details below to improve the information on MICHELE S BERGEN.
| 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).