ROGER L GOETTSCHE MD
Controlled Substance Registration for Practitioner


Address: 31 Hammock Rd, Clinton, CT 06413-2366

ROGER L GOETTSCHE MD (Credential# 411836) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ROGER L GOETTSCHE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037874. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 31 Hammock Rd, Clinton, CT 06413-2366. The current status is inactive.

Basic Information

Licensee Name ROGER L GOETTSCHE MD
Credential ID 411836
Credential Number CSP.0037874
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 31 Hammock Rd
Clinton
CT 06413-2366
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-07-29
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
541901 1.016429 Physician/Surgeon 1974-01-09 2012-03-01 - 2013-02-28 INACTIVE
1034079 CSP.0051428 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - PENDING

Office Location

Street Address 31 HAMMOCK RD
City CLINTON
State CT
Zip Code 06413-2366

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Competitor

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City CLINTON
Zip Code 06413
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CLINTON

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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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