CHARLES J SMITH MD
Controlled Substance Registration for Practitioner


Address: 86 Lower Reservoir Rd, Goshen, NY 10924

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
560356 1.042774 Physician/Surgeon 2004-09-01 2004-09-01 - 2005-04-30 INACTIVE

Office Location

Street Address 86 LOWER RESERVOIR RD
City GOSHEN
State NY
Zip Code 10924

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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
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City GOSHEN
Zip Code 10924
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GOSHEN

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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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