KEITH M GOTTESDIENER (Credential# 153448) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEITH M GOTTESDIENER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013050. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 900 Fifth Avenue, New York, NY 10021. The current status is active.
| Licensee Name | KEITH M GOTTESDIENER |
| Credential ID | 153448 |
| Credential Number | CSP.0013050 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
900 Fifth Avenue New York NY 10021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545926 | 1.026278 | Physician/Surgeon | 1985-04-22 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 900 Fifth Avenue |
| City | New York |
| State | NY |
| Zip Code | 10021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | New York |
| Zip Code | 10021 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Hollinger | 55 Nye Rd Ste 101, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith P Cross | 925 Mix Ave Apt 1-h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Keith J. Falter II | 90 Locust Ave, Danbury, CT 06810-6034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith P Meslin | 265 Slater St 220, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Keith A Dressler Dmd | 4 Tayla Way, Nottingham, NH 03290 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Keith H Wade | 101 Main St S, Bethlehem, CT 06751-2032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew P Ward | 47 Keith Cir, Killingworth, CT 06419-1453 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith Corl | 22 Ogden St, Providence, RI 02906-4904 | Controlled Substance Registration for Practitioner | 2019-09-12 ~ 2021-02-28 |
| Keith A Hopkins Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Keith Vom Eigen Md | 131 Coventry St, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEITH M GOTTESDIENER.
| 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).