ERIC R GOLDBERG (Credential# 537993) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ERIC R GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000246-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 83 Chalker Beach Rd, Old Saybrook, CT 06475-1712. The current status is active.
| Licensee Name | ERIC R GOLDBERG |
| Credential ID | 537993 |
| Credential Number | 1.000246-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
83 Chalker Beach Rd Old Saybrook CT 06475-1712 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-12-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154345 | CSP.0015929 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 83 CHALKER BEACH RD |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-1712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Lion-egan | 77 Chalker Beach Rd, Old Saybrook, CT 06475-1712 | Emergency Medical Technician | 2018-03-22 ~ 2022-01-01 |
| Thomas F Shelto | 87 Chalker Beach Rd, Old Saybrook, CT 06475-1712 | Real Estate Salesperson | ~ 1995-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD SAYBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheldon S Goldberg | 2 Medical Ctr Dr, Springfield, MA 01107 | Physician/surgeon | 1993-06-24 ~ 1994-08-31 |
| Richard N Goldberg | 8 Woodland Ln, Berlin, CT 06037-1130 | Physician/surgeon | 2013-05-01 ~ 2013-08-04 |
| Barry Goldberg Md | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2006-11-03 ~ 2007-12-31 |
| Pablo H Goldberg Md | 501 W 110th St Apt 9c, New York, NY 10025-2060 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Eugene L Goldberg | 186 Old Ridgefield, Wilton, CT 06897 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Heidi E Goldberg | P.o.box 7578, Seminole, FL 33775-7578 | Physician/surgeon | 2006-02-23 ~ 2007-03-31 |
| Joseph F Goldberg Md | 128 East Ave, Norwalk, CT 06851-5738 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Marc Goldberg Md | 605 West Ave, Norwalk, CT 06850 | Physician/surgeon | 1996-05-24 ~ 1997-05-31 |
| David J Goldberg Md | 87 Linden St, New Haven, CT 06511 | Physician/surgeon | 2005-03-03 ~ 2006-03-31 |
| Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on ERIC R GOLDBERG.
| 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).