TREVOR TEJADA-BERGES (Credential# 562667) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2014. The license status is INACTIVE.
TREVOR TEJADA-BERGES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045085. The credential type is physician/surgeon. The effective date is March 1, 2013. The expiration date is February 28, 2014. The business address is 101 Dudley Street, Providence, RI 02905. The current status is inactive.
| Licensee Name | TREVOR TEJADA-BERGES |
| Credential ID | 562667 |
| Credential Number | 1.045085 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Dudley Street Providence RI 02905 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-02-01 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2014-02-28 |
| Refresh Date | 2014-06-03 |
| Street Address | 101 Dudley Street |
| City | Providence |
| State | RI |
| Zip Code | 02905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Wendy B Young | 101 Dudley Street, Providence, RI 02905 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Rebecca H Allen | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2020-02-26 ~ 2021-02-28 |
| James F Padbury | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Margaret M Steinhoff | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Balasubramanian Bhagavath | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Walter H Gajewski | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2003-12-18 ~ 2004-12-31 |
| David Frankfurter Md | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Szu Ching Wu | 1185 Narragansett Blvd Apt 206, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Find all Licenses in zip 02905 | |||
| City | Providence |
| Zip Code | 02905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trevor Tejada-berges Md | 101 Dudley St, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nelly A Tejada | 1256 East Pebblebrook Drive, Greencastle, PA 17225 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Trevor M Banack | 697 Andrea Court, Cheshire, CT 06410 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Wenzel Ruster Ausbruch Am Dusse Des Berges | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-11-16 ~ 2010-11-14 |
| Howard Trevor Brown · Trevor Brown Services | 23 White Birch Road, Weston, CT 06883 | Home Improvement Contractor | 1999-06-01 ~ 1999-11-30 |
| Trevor Fleischmann | 11 Hartfield Rd, Portland, CT 06480-1056 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Trevor Project Inc | 8704 Santa Monica Blvd Ste 200, West Hollywood, CA 90069-4548 | Public Charity | 2019-08-06 ~ 2020-06-30 |
| Trevor Thorington | 252 Ethan Drive, Windsor, CT 06095 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Sumita D Butani | 20 Trevor Place, Matawan, NJ 07747 | Naturopathic Physician | 2017-08-01 ~ 2018-07-31 |
| Mary Berges | Hcr 85 Box 145, Bonners Ferry, ID 83805 | Registered Nurse | 1997-06-16 ~ 1998-08-31 |
Please comment or provide details below to improve the information on TREVOR TEJADA-BERGES.
| 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).