BRYAN GOLDBERG MD
Controlled Substance Registration for Practitioner


Address: 549 Via Tranquila, Santa Barbara, CA 93110

BRYAN GOLDBERG MD (Credential# 163915) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

BRYAN GOLDBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023119. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 549 Via Tranquila, Santa Barbara, CA 93110. The current status is inactive.

Basic Information

Licensee Name BRYAN GOLDBERG MD
Credential ID 163915
Credential Number CSP.0023119
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 549 Via Tranquila
Santa Barbara
CA 93110
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
552017 1.034419 Physician/Surgeon 1995-04-28 2011-11-01 - 2012-10-31 INACTIVE

Office Location

Street Address 549 Via Tranquila
City Santa Barbara
State CA
Zip Code 93110

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Competitor

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City Santa Barbara
Zip Code 93110
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Santa Barbara

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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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