LAWRENCE H GOODMAN MD (Credential# 197358) 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.
LAWRENCE H GOODMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027089. 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 290 Green Hill Road, Longmeadow, MA 01106. The current status is active.
| Licensee Name | LAWRENCE H GOODMAN MD |
| Credential ID | 197358 |
| Credential Number | CSP.0027089 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
290 Green Hill Road Longmeadow MA 01106 |
| 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 |
|---|---|---|---|---|---|
| 543441 | 1.020682 | Physician/Surgeon | 1978-08-29 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 290 GREEN HILL ROAD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caren R Goodman | 118 Concord Dr, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jory F Goodman Md | Po Box 1027, Amherst, NH 03031-1027 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ashlee P Goodman | 199 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth A Goodman | 90 Red Oak Hill Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gordon Goodman Md | 101 Academy St, Manlius, NY 13104 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Trevor F Goodman | 7 Maytime Dr, Jericho, NY 11753-2231 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Marvin M Goodman | 797 Farmington Ave, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Lindsay L Goodman | 100 Parrott Dr Unit 913, Shelton, CT 06484-4791 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Doris H Goodman | 2 Brownstone Ridge, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1995-08-08 ~ 1997-02-28 |
| Jason Michael Goodman | 100 W 93rd St Apt 18k, New York, NY 10025-0028 | Controlled Substance Registration for Practitioner | 2020-04-23 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LAWRENCE H GOODMAN MD.
| 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).