ELISABETH K BERG
Occupational Therapist Assistant


Address: 25 Broad Street Ext, Groton, CT 06340

ELISABETH K BERG (Credential# 777170) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 30, 2003. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

ELISABETH K BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000857. The credential type is occupational therapist assistant. The effective date is May 30, 2003. The expiration date is July 31, 2005. The business address is 25 Broad Street Ext, Groton, CT 06340. The current status is inactive.

Basic Information

Licensee Name ELISABETH K BERG
Credential ID 777170
Credential Number 49.000857
Credential Type Occupational Therapist Assistant
Business Address 25 Broad Street Ext
Groton
CT 06340
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-05-13
Effective Date 2003-05-30
Expiration Date 2005-07-31
Refresh Date 2009-07-08

Office Location

Street Address 25 Broad Street Ext
City Groton
State CT
Zip Code 06340

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
John L Graves 25 Broad Street Ext, Groton, CT 06340 Notary Public Appointment 1975-03-01 ~ 1980-03-31

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Competitor

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City Groton
Zip Code 06340
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + Groton

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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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