CHARLES J SMITH MD (Credential# 392027) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
CHARLES J SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036866. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 86 Lower Reservoir Rd, Goshen, NY 10924. The current status is inactive.
Licensee Name | CHARLES J SMITH MD |
Credential ID | 392027 |
Credential Number | CSP.0036866 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
86 Lower Reservoir Rd Goshen NY 10924 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2004-12-15 |
Effective Date | 2005-03-01 |
Expiration Date | 2006-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560356 | 1.042774 | Physician/Surgeon | 2004-09-01 | 2004-09-01 - 2005-04-30 | INACTIVE |
Street Address | 86 LOWER RESERVOIR RD |
City | GOSHEN |
State | NY |
Zip Code | 10924 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alan Osher Shanker | 1761 Rt. 17m, Goshen, NY 10924 | Veterinarian | 2019-12-02 ~ 2020-12-31 |
Jody Lee Fortuna | 10 Autumn Trail, Goshen, NY 10924 | Notary Public Appointment | 2016-04-13 ~ 2021-04-30 |
Christopher Edward Melley | 12 Sutton Lane, Goshen, NY 10924 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Maureen B Cavanagh | 17 Delta Place, Goshen, NY 10924 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
Linda C Unger | 8 Florican Lane, Goshen, NY 10924 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
Jill S Gurda | 1 Horseshoe Court, Goshen, NY 10924 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
Donna G Case-mcaleer | 16 South Street, Goshen, NY 10924 | Nursing Home Administrator | 2010-12-01 ~ 2012-11-30 |
Kristie L Nelson | 180 Murray Avenue, Goshen, NY 10924 | Dental Hygienist | 2009-04-03 ~ 2010-05-31 |
Peter A Tamburelli | 105 Route 17a, Goshen, NY 10924 | Heating, Piping & Cooling Limited Journeyperson | 2009-04-29 ~ 2009-08-31 |
Joseph Marsala | Strack Road, Goshen, NY 10924 | Architect | 2006-08-01 ~ 2007-07-31 |
Find all Licenses in zip 10924 |
City | GOSHEN |
Zip Code | 10924 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GOSHEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Richard N Smith | Po Box 388, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2016-06-16 ~ 2019-02-28 |
Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jay R Smith Md | 85 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
Charles W Johndro | 80 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles M Stuhr | 783 Danbury Rd, Wilton, CT 06897-5025 | Controlled Substance Registration for Practitioner | 2019-02-11 ~ 2021-02-28 |
Charles Cohen Md | 200-20 Keno, Holliswood, NY 11423 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).