JACKI GOLDSTEIN (Credential# 153166) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JACKI GOLDSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012919. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 40 Old Farms Rd, South Glastonbury, CT 06073. The current status is lapsed.
| Licensee Name | JACKI GOLDSTEIN |
| Credential ID | 153166 |
| Credential Number | CSP.0012919 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Old Farms Rd South Glastonbury CT 06073 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545836 | 1.026132 | Physician/Surgeon | 1985-02-06 | 2016-11-01 - 2017-10-31 | INACTIVE |
| Street Address | 40 OLD FARMS RD |
| City | SOUTH GLASTONBURY |
| State | CT |
| Zip Code | 06073 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael T King | 40 Old Farms Rd, South Glastonbury, CT 06073 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Belltown Hill Orchards LLC | 483 Matson Hill Rd, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine L Cuva | 65 Backland Rd, South Glastonbury, CT 06073 | Speech and Language Pathologist | ~ |
| Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| L V Fuel Company LLC | 891 Main St, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Daniel W Babella | 55 Hopewell Heights, South Glastonbury, CT 06073 | Water Treatment Plant Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Anne T Rolfe | 8 High Ridge Road, Glastonbury, CT 06073 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Audrey C Mcfarlane-nelson · Mcfarlane | 81 Glastonbury Hunt Lane, S. Glastonbury, CT 06073 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alan J Dumaine | 391 Tryon Street, South Glastonbury, CT 06073 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Lottie's Country Kitchen · Carol Mulazzi Dba | 2187 New London Tnpk, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dondero Orchards LLC | 529 Woodland St, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06073 | |||
| City | SOUTH GLASTONBURY |
| Zip Code | 06073 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul S Goldstein Md | 200 Orchard St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jonathan Goldstein Md | 340 E 64th St Apt 8g, New York, NY 10065-7524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Goldstein Md | 450 Mamaroneck Ave Ste 201, Harrison, NY 10528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam M Goldstein Md | 1 Herald Sq, New Britain, CT 06051-5006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Max Goldstein | 10 Ridgemont Dr, West Hartford, CT 06117-1025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steve Goldstein | 65 Broad St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Leon A Goldstein Md | 141 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Z Goldstein Md | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Loren C Goldstein | 363 Limestone Rd, Ridgefield, CT 06877-2617 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).