ALF H BERGMAN MD (Credential# 560568) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
ALF H BERGMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042986. The credential type is physician/surgeon. The effective date is March 28, 2005. The expiration date is March 31, 2006. The business address is 3 Basil Road, Granby, CT 06035. The current status is inactive.
| Licensee Name | ALF H BERGMAN MD |
| Credential ID | 560568 |
| Credential Number | 1.042986 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Basil Road Granby CT 06035 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-12-13 |
| Effective Date | 2005-03-28 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 389456 | CSP.0036749 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-03 | 2005-01-03 - 2006-02-28 | INACTIVE |
| Street Address | 3 BASIL ROAD |
| City | GRANBY |
| State | CT |
| Zip Code | 06035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Geigner | 62 Creamery Hill Rd., Granby, CT 06035 | Medication Administration Certification | ~ |
| Matthew L Einzig | 8 Strawberry Fields Road, Granby, CT 06035 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Christine M Giannoni | 36 Twilight Dr, Granby, CT 06035 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stonegate Gardens, Inc | 69 Bushy Hill Road, Granby, CT 06035 | Nursery Registration | 2020-07-01 ~ 2021-06-30 |
| Christopher L Mele | 16 Zimmer Road, Granby, CT 06035 | Athletic Trainer | 2020-09-01 ~ 2021-08-31 |
| Wendy L Wright | 10 Intervale Road, Granby, CT 06035 | Real Estate Salesperson | 2020-03-09 ~ 2021-05-31 |
| Vipasha Desai | 41 Hartford Ave, Granby, CT 06035 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Benjamin J. Butch | 125 North Granby Rd., Granby, CT 06035 | Hoisting Equipment Operator | 2018-04-18 ~ 2020-04-17 |
| Lori A Schick-schneider | 11 Copperbrook Circle, Granby, CT 06035 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Salmon Brook | 65 Salmon Brook Rd., Granby, CT 06035 | Public Community Living Arrangement | 2019-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06035 | |||
| City | GRANBY |
| Zip Code | 06035 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GRANBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Michael D Bergman | 61 Woodstock Rd, Hamden, CT 06517-2949 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Michael M Bergman | 78 Newton Ave, Worcester, MA 01602 | Physician/surgeon | 1997-12-02 ~ 1998-08-31 |
| Frank E Bergman · Bergman and Sons Builders | 35 Liepis Rd, Canterbury, CT 06331 | New Home Construction Contractor | 2001-05-01 ~ 2001-09-30 |
| Susan N Bergman | 29 Bergman Dr, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Bergman Kprs LLC | 2850 Saturn St, Brea, CA 92821-1701 | Major Contractor | 2019-07-01 ~ 2020-06-30 |
| Lindsey Pogostin Bergman | 183 Rockland Road, Fairfield, CT 06825 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Ingrid Bergman | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-08-15 ~ 2021-08-14 |
| Aaron, Smith, Bergman, Gaffney & Rubinstein, P.C. | 270 Benton Drive, East Longmeadow, MA 01028-3119 | Certified Public Accountant Firm Permit | 2000-01-01 ~ 2000-12-31 |
| Kathryn A Manley | Po Box 348, Bergman, AR 72615-0348 | Registered Nurse | 2014-06-05 ~ 2015-06-30 |
Please comment or provide details below to improve the information on ALF H BERGMAN MD.
| 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).