JAREN D GOFF
Controlled Substance Registration for Practitioner


Address: 1008 Vintage Ct Apt B, Harrisburg, PA 17109-4956

JAREN D GOFF (Credential# 1427058) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 30, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JAREN D GOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065608. The credential type is controlled substance registration for practitioner. The effective date is May 30, 2017. The expiration date is February 28, 2019. The business address is 1008 Vintage Ct Apt B, Harrisburg, PA 17109-4956. The current status is lapsed.

Basic Information

Licensee Name JAREN D GOFF
Credential ID 1427058
Credential Number CSP.0065608
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1008 Vintage Ct Apt B
Harrisburg
PA 17109-4956
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-05-30
Effective Date 2017-05-30
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1489392 1.058598-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 1008 VINTAGE CT APT B
City HARRISBURG
State PA
Zip Code 17109-4956

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Paul Frederick Fraundorfer 4041 Lexington St, Harrisburg, PA 17109-2624 Pharmacist 2011-02-01 ~ 2012-01-31
Manpreet Singh 5032 Royal Ave, Harrisburg, PA 17109-3119 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Competitor

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City HARRISBURG
Zip Code 17109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARRISBURG

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Brian B Gomes 291 Goff Rd, Wethersfield, CT 06109-2406 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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