PHILIP H GOLDMAN MD (Credential# 539917) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 13, 2003. The license expiration date date is May 31, 2004. The license status is INACTIVE.
PHILIP H GOLDMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011156. The credential type is physician/surgeon. The effective date is May 13, 2003. The expiration date is May 31, 2004. The business address is 38 Visgrove Lane, West Hartford, CT 06117-2332. The current status is inactive.
Licensee Name | PHILIP H GOLDMAN MD |
Credential ID | 539917 |
Credential Number | 1.011156 |
Credential Type | Physician/Surgeon |
Business Address |
38 Visgrove Lane West Hartford CT 06117-2332 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1962-12-12 |
Effective Date | 2003-05-13 |
Expiration Date | 2004-05-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152980 | CSP.0005676 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
Street Address | 38 VISGROVE LANE |
City | WEST HARTFORD |
State | CT |
Zip Code | 06117-2332 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Josephine A Tadeo-goldman | 38 Visgrove Lane, West Hartford, CT 06117 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter Sereny Md | 40 Visgrove Ln, West Hartford, CT 06117-2332 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06117 |
City | WEST HARTFORD |
Zip Code | 06117 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Andrew M Goldman | 106 Upper Main St, Sharon, CT 06069 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Arnold Goldman | 76-05 113 Street, Forest Hills, NY 11375 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Kathryn R Goldman | 11 Greenridge Ln, West Hartford, CT 06107-1302 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Marc Goldman | 2121 Terry Ave Apt 1801, Seattle, WA 98121-2735 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Alvin Goldman | 3 Lake Crest Drive, Danbury, CT 06811 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
Richard A Goldman | 1082 Boulevard, West Hartford, CT 06119 | Physician/surgeon | 1993-11-24 ~ 1994-11-30 |
Alice R Goldman | 11 Eliot Place, Short Hills, NJ 07078-3101 | Physician/surgeon | 1999-03-17 ~ 2000-03-31 |
Josephine A Tadeo-goldman | 38 Visgrove Lane, West Hartford, CT 06117 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Eleanor Russell-goldman | 243 Forest Hills Street, Boston, MA 02130 | Physician/surgeon | 2017-08-01 ~ 2018-08-31 |
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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).