DUDLEY W GOETZ (Credential# 1308524) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 6, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DUDLEY W GOETZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061414. The credential type is controlled substance registration for practitioner. The effective date is February 6, 2016. The expiration date is February 28, 2017. The business address is 2303 Castle Rock Rd, Arlington, TX 76006-2713. The current status is inactive.
| Licensee Name | DUDLEY W GOETZ |
| Credential ID | 1308524 |
| Credential Number | CSP.0061414 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2303 Castle Rock Rd Arlington TX 76006-2713 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2016-02-06 |
| Effective Date | 2016-02-06 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1308004 | 1.054907-DO | Physician/Surgeon | 2016-02-05 | 2016-02-05 - 2016-12-31 | INACTIVE |
| Street Address | 2303 CASTLE ROCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76006-2713 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fatmire Korca | 2630 Hemingway Drive, Arlington, TX 76006 | Hairdresser/cosmetician | 2019-02-01 ~ 2021-01-31 |
| Donald G Illingworth · Don Illingworth&assoc | 2707 Monarch, Arlington, TX 76006 | Professional Engineer | 1990-03-08 ~ 1991-01-31 |
| James S Notch · The Datum/moore Prtnrshp | 2603 Cypress Hls Ct, Arlington, TX 76006 | Professional Engineer | 1800-12-27 ~ 1990-01-31 |
| Weldon Leon Mcculloch Jr · Dfw Consulting Group Inc | 2707 Buttermilk Dr, Arlington, TX 76006 | Professional Engineer | 1999-03-16 ~ 2000-01-31 |
| Regina A Olsen-raine | 2407 Arbor Oaks, Arlington, TX 76006 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Wilfred L Raine | 2407 Arbor Oaks Drive, Arlington, TX 76006 | Physician/surgeon | 2014-01-01 ~ 2014-12-31 |
| Joyce Rebecca Akinyi | 2515 Walnut Hill Circle, Arlington, TX 76006 | Registered Nurse | 2008-09-08 ~ 2009-10-31 |
| Frank R Genco | 2455 Jefferson Ct, Arlington, TX 76006 | Physician/surgeon | 1994-04-14 ~ 1995-06-30 |
| Douglas N Ross | 2804 Turnberry Dr, Arlington, TX 76006 | Respiratory Care Practitioner | 1996-03-01 ~ 1997-03-31 |
| Jenifer J Justice | 2916 Forest Pt Dr, Arlington, TX 76006 | Registered Nurse | 1992-06-25 ~ 1993-06-30 |
| Find all Licenses in zip 76006 | |||
| City | ARLINGTON |
| Zip Code | 76006 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ARLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia A Goetz Lnm | 373 Walkley Hill Rd, Haddam, CT 06438 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jordan Goetz Md | 19 Field Rock Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean H Goetz Dds | 327 E Haddam-moodus Rd, Moodus, CT 06469 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Candy Y Didonato | 47 Chase Ave, Dudley, MA 01571-3404 | Controlled Substance Registration for Practitioner | 2019-05-14 ~ 2021-02-28 |
| Kelley L Harpin | 9 Dudley Rd, Litchfield, CT 06759-3109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lucia E Vigna Md | 43 Dudley Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Edmonson Md | 101 Dudley St, Providence, RI 02905-2499 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ashley R Stuckey Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara A Dudley | 136 Dwight St Apt 2, New Haven, CT 06511-4562 | Controlled Substance Registration for Practitioner | 2014-02-19 ~ 2015-02-28 |
| Jennifer S. Gass | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on DUDLEY W GOETZ.
| 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).