JOANNE M BERLIN PA (Credential# 742055) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 19, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.
JOANNE M BERLIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000306. The credential type is physician assistant. The effective date is June 19, 1996. The expiration date is July 31, 1997. The business address is 1146 Johnson Road, Woodbridge, CT 06525. The current status is inactive.
| Licensee Name | JOANNE M BERLIN PA |
| Credential ID | 742055 |
| Credential Number | 23.000306 |
| Credential Type | Physician Assistant |
| Business Address |
1146 Johnson Road Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-11-05 |
| Effective Date | 1996-06-19 |
| Expiration Date | 1997-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161150 | CSP.0023330 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 1146 Johnson Road |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Cvijic Pa-c | 83 Rockledge Rd#2b, Hartsdale, NY 10530 | Physician Assistant | 2006-04-27 ~ 2007-04-30 |
| Joanne Churak | 121 Ruy Lane, Southington, CT 06489 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joanne Tischer | 114 Spindle Hill Rd, Wolcott, CT 06716 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joanne Lastri Campbell | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kim Stanowski | 136 Birch Ln, Berlin, CT 06037-3404 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Matthew J Moore | 55 Langdon Ct, Berlin, CT 06037-1316 | Physician Assistant | 2019-02-01 ~ 2020-01-31 |
| Christine M Maffucci | 51 Woodland Ln, Berlin, CT 06037-1129 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Karen D Rosen | 51 Eastbrook Ter, Berlin, CT 06037-2287 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Dana Hebert | 103 Warner Rd, Berlin, CT 06037-1940 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Ashley J Allatin | 283 Newton St, Berlin, CT 06037-1228 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on JOANNE M BERLIN PA.
| 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).