JARRETT LEFBERG
Controlled Substance Registration for Practitioner


Address: 30 Valley View Rd, Goshen, NY 10924-8931

JARRETT LEFBERG (Credential# 477153) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JARRETT LEFBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041954. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 30 Valley View Rd, Goshen, NY 10924-8931. The current status is inactive.

Basic Information

Licensee Name JARRETT LEFBERG
Credential ID 477153
Credential Number CSP.0041954
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Valley View Rd
Goshen
NY 10924-8931
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-03
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563421 1.045839-DO Physician/Surgeon 2007-09-10 2013-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address 30 Valley View Rd
City GOSHEN
State NY
Zip Code 10924-8931

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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
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Competitor

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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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