DAVID A GOLDBERG (Credential# 541677) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID A GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015895. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 405 Summit Dr, Corte Madera, CA 94925-1345. The current status is active.
| Licensee Name | DAVID A GOLDBERG |
| Credential ID | 541677 |
| Credential Number | 1.015895 |
| Credential Type | Physician/Surgeon |
| Business Address |
405 Summit Dr Corte Madera CA 94925-1345 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1973-02-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1245182 | CSP.0058702 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 162880 | CSP.0021894 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Goldberg | 148 16th Street, Pacific Grove, CA 93950 | Physical Therapist | 1994-05-31 ~ 1995-03-31 |
| David A Goldberg | 400 Fountain St, New Haven, CT 06500 | Notary Public Appointment | 1985-07-01 ~ 1990-03-31 |
| Street Address | 405 SUMMIT DR |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1345 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie C Giarratana-young | 618 Oakdale Ave, Corte Madera, CA 94925 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David M Johnson | 94 Golden Hind Passage, Corte Madera, CA 94925 | Architect | 2015-08-01 ~ 2016-07-31 |
| Presidio Brands, Inc. · Every Man Jack | 500 Tamal Plaza, Corte Madera, CA 94925 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-11-17 ~ |
| Joseph Erik Strickler | 711 Meadowsweet Drive, Corte Madera, CA 94925 | Certified Public Accountant Certificate | ~ |
| Educate America! The Education School Support and Scholarship Funds Coalition | 21 Tamal Vista Blvd, #209, Corte Madera, CA 94925 | Public Charity | ~ |
| Lynn Fabian | 432 Robin Dr, Corte Madera, CA 94925 | Physical Therapist | 2003-09-11 ~ 2004-09-30 |
| Kandee Adams · Matthews Adams | 33 Creekside Court, Corte Madera, CA 94925 | Speech and Language Pathologist | 1994-12-12 ~ 1995-12-31 |
| Mary Regan | 664 Redwood Avenue, Corte Madera, CA 94925 | Registered Nurse | 1999-07-12 ~ 2000-09-30 |
| Nicole M Moore-perullo | 396 Prince Royal Dr, Corte Madera, CA 94925 | Speech and Language Pathologist | 2007-02-27 ~ 2008-04-30 |
| Lisa A Jablon | 1411 Casa Buena Dr #26, Corte Madera, CA 94925 | Pharmacist | 1800-12-27 ~ 1991-03-31 |
| Find all Licenses in zip 94925 | |||
| City | CORTE MADERA |
| Zip Code | 94925 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CORTE MADERA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Goldberg Md | 87 Linden St, New Haven, CT 06511 | Physician/surgeon | 2005-03-03 ~ 2006-03-31 |
| David J Goldberg | 20 Prospect Avenue, Suite 702, Hackensack, NJ 07601 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Joseph F Goldberg Md | 128 East Ave, Norwalk, CT 06851-5738 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| 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 |
| Sheldon S Goldberg | 2 Medical Ctr Dr, Springfield, MA 01107 | Physician/surgeon | 1993-06-24 ~ 1994-08-31 |
| Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jeffrey R Goldberg Md | 25 Collins Rd, Bristol, CT 06010 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jana Goldberg | 156 W. 56th Street, New York, NY 08033 | Physician/surgeon | ~ |
| Arnold R. Goldberg | 61 Brook Rd, Sharon, MA 02067-1415 | Physician/surgeon | 1984-05-01 ~ 1985-05-31 |
Please comment or provide details below to improve the information on DAVID A 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).