PETER A GOODHUE MD
Controlled Substance Registration for Practitioner


Address: 25 Harbor Rd, Darien, CT 06820-5810

PETER A GOODHUE MD (Credential# 155054) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

PETER A GOODHUE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016118. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 25 Harbor Rd, Darien, CT 06820-5810. The current status is inactive.

Basic Information

Licensee Name PETER A GOODHUE MD
Credential ID 155054
Credential Number CSP.0016118
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Harbor Rd
Darien
CT 06820-5810
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 1999-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
539499 1.009645 Physician/Surgeon 1959-10-27 2015-03-01 - 2016-01-31 INACTIVE

Office Location

Street Address 25 HARBOR RD
City DARIEN
State CT
Zip Code 06820-5810

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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Peter K Lee 53 Ridgewood Ct, Shelton, CT 06484 Controlled Substance Registration for Practitioner 1993-03-09 ~ 1995-03-01
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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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