FRANK E GOLDBERG (Credential# 192878) 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.
FRANK E GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026588. 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 256 N Main St, Manchester, CT 06042-2004. The current status is inactive.
Licensee Name | FRANK E GOLDBERG |
Credential ID | 192878 |
Credential Number | CSP.0026588 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
256 N Main St Manchester CT 06042-2004 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
554240 | 1.036649 | Physician/Surgeon | 1998-02-20 | 2015-06-01 - 2016-05-31 | INACTIVE |
Street Address | 256 N MAIN ST |
City | MANCHESTER |
State | CT |
Zip Code | 06042-2004 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David W Wolpaw Md | 256 N Main St, Manchester, CT 06042-2004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nilay Shah · One Stop Liquors | 238 N Main St, Manchester, CT 06042-2004 | Package Store Liquor | 2020-05-01 ~ 2021-04-30 |
Fedora Optical Inc | 236 N Main St, Manchester, CT 06042-2004 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
Cvs Pharmacy #1910 | 260 N Main St, Manchester, CT 06042-2004 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
One Stop Liquor | 238 N Main St, Manchester, CT 06042-2004 | Lottery Sales Agent | 2017-05-11 ~ 2018-03-31 |
One Stop Liquor Store | 238 N Main St, Manchester, CT 06042-2004 | Lottery Sales Agent | 2017-04-01 ~ 2018-03-31 |
Hetalben U Dave · One Stop Liquor Store | 238 N Main St, Manchester, CT 06042-2004 | Package Store Liquor | 2016-06-25 ~ 2017-06-24 |
Harshal D Patel · One Stop Liquor Store | 238 N Main St, Manchester, CT 06042-2004 | Package Store Liquor | 2012-04-19 ~ 2013-04-18 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06042 |
City | MANCHESTER |
Zip Code | 06042 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daniel E Goldberg | 69 Sand Pit Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Shraga Goldberg Md | 140-21 69th Ave, Flushing, NY 11367 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jeffrey M O'connor Pa-c | 96 Goldberg Rd, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul Goldberg | 20 Dawn Dr, Westport, CT 06880-2848 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robin B Goldberg | 73 Avon St, New Haven, CT 06511-2422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephen A Goldberg Md | 3 Wakefield Rd, Scarsdale, NY 10583-7125 | Controlled Substance Registration for Practitioner | 2009-03-10 ~ 2011-02-28 |
Jason Goldberg | 200 College St Apt 437, New Haven, CT 06510-2450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert P Goldberg Md | 22 W Main St, Niantic, CT 06357-2340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sharon R Goldberg Md | 40 Hart Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jonathan L Goldberg | 4133 Whitney Ave, Hamden, CT 06518 | 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).