JENNIFER BERLIN (Credential# 884687) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
JENNIFER BERLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008633. The credential type is physical therapist. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 22 Margo Cir, North Haven, CT 06473-1924. The current status is active.
| Licensee Name | JENNIFER BERLIN |
| Credential ID | 884687 |
| Credential Number | 14.008633 |
| Credential Type | Physical Therapist |
| Business Address |
22 Margo Cir North Haven CT 06473-1924 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-26 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 342660 | PTN.0005926 | PHARMACY TECHNICIAN | 2006-05-17 | 2008-04-01 - 2009-03-31 | INACTIVE |
| 946410 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
| Street Address | 22 MARGO CIR |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-1924 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek J Broccoli | 14 Margo Cir, North Haven, CT 06473-1924 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Brandon S Berrios | 18 Margo Cir, North Haven, CT 06473-1924 | Barber | 2019-11-01 ~ 2021-10-31 |
| Brittney J Berrios | 18 Margo Cir, North Haven, CT 06473-1924 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Samuel Berrios · Berrios Aluminium Siding Company | 18 Margo Cir, North Haven, CT 06473-1924 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Siegal | 111 Elizabeth Rd, Berlin, CT 06037 | Marital and Family Therapist | ~ |
| Jennifer M Walsh | 74 Sterling Dr, Berlin, CT 06037-2128 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jennifer L Fournier-dubree | 506 Tollgate Rd, Berlin, CT 06037 | Massage Therapist | 2018-08-01 ~ 2020-07-31 |
| Cindy T Berlin | 68 Orion Ave, Groton, CT 06340-2832 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Susan G Ball | 171 Berlin St, Montpelier, VT 05602 | Physical Therapist | 2010-11-01 ~ 2011-10-31 |
| Katherine Lewicki | 47 Schultz Rd, Berlin, CT 06037-2123 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| David Reindl | 6 Rockledge Ct, Berlin, CT 06037-2055 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Sarah L Hanson | 506 Spruce Brk Rd, Berlin, CT 06037 | Physical Therapist | 2016-07-01 ~ 2017-06-30 |
| Debora L Dimenno | 169 Hawthorne Dr, Berlin, CT 06037-4074 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Kristin K Cresta | 326 Chamberlain Hwy, Berlin, CT 06037-1926 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
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| 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).