SEAN H GOETZ DDS (Credential# 373171) 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.
SEAN H GOETZ DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035048. 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 327 E Haddam-moodus Rd, Moodus, CT 06469. The current status is active.
| Licensee Name | SEAN H GOETZ DDS |
| Credential ID | 373171 |
| Credential Number | CSP.0035048 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
327 E Haddam-moodus Rd Moodus CT 06469 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-06-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703739 | 2.009287 | Dentist | 2004-04-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 327 E HADDAM-MOODUS RD |
| City | MOODUS |
| State | CT |
| Zip Code | 06469 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria Cicero Barber | 82 Mott Lane, Moodus, CT 06469 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Matthew R Riley | 53 Great Hillwood Road, Moodus, CT 06469 | Real Estate Salesperson | ~ |
| Toni L Daddeo · Alden | 3 Winterbrooke Rd, Moodus, CT 06469 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Heather Congdon | 63 Falls Rd, Moodus, CT 06469 | Professional Counselor Associate | ~ |
| Fallon Elizabeth Morris | 29 White Sands Rd, Moodus, CT 06469 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erika J Mccormack | 108 Stockburger Rd., Moodus, CT 06469 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Emily K Foster | 17 Robbie Road, Moodus, CT 06469 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nancy G O'briant | 129 Leesville Rd, Moodus, CT 06469 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kayla Rivera | 138 Fall Road, Moodus, CT 06469 | Medication Administration Certification | 2020-06-03 ~ 2022-06-03 |
| Suzanne Kraynak | 35 Trowbrige Rd, Moodus, CT 06469 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06469 | |||
| City | MOODUS |
| Zip Code | 06469 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOODUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Goetz Md | 19 Field Rock Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia A Goetz Lnm | 373 Walkley Hill Rd, Haddam, CT 06438 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dudley W Goetz | 2303 Castle Rock Rd, Arlington, TX 76006-2713 | Controlled Substance Registration for Practitioner | 2016-02-06 ~ 2017-02-28 |
| Sean W Burke Pa-c | 7 Clifdon Dr, Simsbury, CT 06070-1230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean M Yetman | 7 Wooster Pl, New Haven, CT 06511-6933 | Controlled Substance Registration for Practitioner | 2009-09-30 ~ 2011-02-28 |
| Sean P Valente Pa | 49 Mesa Dr, Bethany, CT 06524-3093 | Controlled Substance Registration for Practitioner | 2009-04-06 ~ 2011-02-28 |
| Sean Desilva | 111 Park St Apt 14l, New Haven, CT 06511-5466 | Controlled Substance Registration for Practitioner | 2014-09-05 ~ 2015-02-28 |
| Sean Finney Md | 47 Schwink Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sean H Bell | 64 Douglas Rd, New Canaan, CT 06840-6210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean M Batchelder | 36 Aspen Dr, Middletown, CT 06457 | 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).