ERIKA D BRADFORD (Credential# 559925) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.
ERIKA D BRADFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042343-DO. The credential type is physician/surgeon. The effective date is June 30, 2008. The expiration date is August 31, 2009. The business address is 69 Bayview Ave, Berkley, MA 02779. The current status is inactive.
| Licensee Name | ERIKA D BRADFORD |
| Credential ID | 559925 |
| Credential Number | 1.042343-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
69 Bayview Ave Berkley MA 02779 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-04-20 |
| Effective Date | 2008-06-30 |
| Expiration Date | 2009-08-31 |
| Refresh Date | 2010-03-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 372869 | CSP.0035034 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-17 | 2004-07-06 - 2006-02-28 | INACTIVE |
| Street Address | 69 Bayview Ave |
| City | Berkley |
| State | MA |
| Zip Code | 02779 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Marsh Cappello | 12 Town Landing Road, Berkley, MA 02779 | Registered Nurse | ~ |
| Sonny H Carson | 71 Jerome St, Berkley, MA 02779 | Limited Sheet Metal Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Brian Salamone | 51 Seymour St, Berkley, MA 02779 | Electrical Unlimited Journeyperson | 2017-06-29 ~ 2017-09-30 |
| Byron R Holmes | 622 Berkley St, Berkley, MA 02779 | Professional Engineer | 2011-02-15 ~ 2012-01-31 |
| William E Munnis Jr | 32 Algerine St, Berkley, MA 02779 | Electrical Unlimited Journeyperson | 2009-10-01 ~ 2010-09-30 |
| William D Fyfe | 28 Burt Street, Berkley, MA 02779 | Emergency Medical Technician | 2008-10-08 ~ 2010-10-01 |
| Nathan A Travers | 67 Plain Street East, Berkley, MA 02779 | Electrical Unlimited Journeyperson | ~ |
| Joseph M Gonsalves Jr | 39 Parsons Walk, Berkley, MA 02779 | Radiographer | 2007-07-26 ~ 2008-07-31 |
| Raymond D Smith | 65 Locust St, Berkley, MA 02779 | Plumbing & Piping Limited Journeyperson | 2000-11-16 ~ 2001-10-31 |
| Craig Gallant | 163 Baynew Ave, Berkley, MA 02779 | Electrical Unlimited Journeyperson | 1999-10-01 ~ 2000-09-30 |
| Find all Licenses in zip 02779 | |||
| City | Berkley |
| Zip Code | 02779 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Berkley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika S. Surace | 77 Danbury Rd, Ridgefield, CT 06877-4029 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erika Jessen | 234 Church St., New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erika Polyanskaya | 51 Coventry St, Hartford, CT 06112-1525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Erika M Balfour | 80 Park Ave Apt 10p, New York, NY 10016-2545 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Erika F Werner Md | 7 Central Ave, Barrington, RI 02806 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Ann M Rasmusson Md | 36 Bradford St # 2, Boston, MA 02118-2119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erika H Hiby | 429 East Main Street, Apt.j-1, Bay Shore, NY 11706 | Physician/surgeon | 1999-10-04 ~ 2000-10-31 |
| Erika N Torjusen | 6912 Carroll Highlands Rd, Eldersburg, MD 21784-6300 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Paul B Koehler | Rr01 Box 250 H, Bradford, NH 03221 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Bradford Frank | 48 Stratton Way, Branford, CT 06405 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
Please comment or provide details below to improve the information on ERIKA D BRADFORD.
| 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).