COLLEEN J BERGIN MD
Physician/surgeon


Address: 11 Lakeview Rd, Takapuna, Auckland, NZ 0622

COLLEEN J BERGIN MD (Credential# 565236) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is May 31, 2011. The license status is INACTIVE.

Business Overview

COLLEEN J BERGIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047654. The credential type is physician/surgeon. The effective date is June 1, 2010. The expiration date is May 31, 2011. The business address is 11 Lakeview Rd, Takapuna, Auckland, NZ 0622. The current status is inactive.

Basic Information

Licensee Name COLLEEN J BERGIN MD
Credential ID 565236
Credential Number 1.047654
Credential Type Physician/Surgeon
Business Address 11 Lakeview Rd
Takapuna, Auckland
NZ 0622
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-05-01
Effective Date 2010-06-01
Expiration Date 2011-05-31
Refresh Date 2011-09-02

Other licenses

ID Credential Code Credential Type Issue Term Status
897196 CSP.0046775 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-10-19 2009-10-19 - 2011-02-28 INACTIVE

Office Location

Street Address 11 LAKEVIEW RD
City TAKAPUNA, AUCKLAND
State NZ
Zip Code 0622

Competitor

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City TAKAPUNA, AUCKLAND
Zip Code 0622
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TAKAPUNA, AUCKLAND

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Dataset Information

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).

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