SUSAN L BERGMAN
Dental Hygienist


Address: 150 Penn Dr, West Hartford, CT 06119

SUSAN L BERGMAN (Credential# 682830) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.

Business Overview

SUSAN L BERGMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.001898. The credential type is dental hygienist. The effective date is April 15, 2008. The expiration date is April 30, 2009. The business address is 150 Penn Dr, West Hartford, CT 06119. The current status is inactive.

Basic Information

Licensee Name SUSAN L BERGMAN
Credential ID 682830
Credential Number 13.001898
Credential Type Dental Hygienist
Business Address 150 Penn Dr
West Hartford
CT 06119
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2008-04-15
Expiration Date 2009-04-30
Refresh Date 2009-08-13

Other locations

Licensee Name Office Address Credential Effective / Expiration
Susan L Bergman 150 Penn Drive, West Hartford, CT 06119 Notary Public Appointment 2018-09-01 ~ 2023-08-31

Office Location

Street Address 150 PENN DR
City WEST HARTFORD
State CT
Zip Code 06119

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Stephen R Dewey 68 Richard St, W Hartford, CT 06119 Architect 2020-08-01 ~ 2021-07-31
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Judith Briggs 29 Troy St, West Hartford, CT 06119 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type Dental Hygienist
License Type + County Dental Hygienist + WEST HARTFORD

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Susan N Chu 3 Anthony Way, Ellington, CT 06029-3656 Dental Hygienist 2019-11-01 ~ 2020-10-31
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Susan L Bisceglia 111 Florence Avenue, Rye, NY 10580 Dental Hygienist 1997-02-26 ~ 1998-02-28
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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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