DANIEL B GOODMAN (Credential# 542832) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
DANIEL B GOODMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018668. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 134 Grandview St Suite 103, Waterbury, CT 06708. The current status is inactive.
| Licensee Name | DANIEL B GOODMAN |
| Credential ID | 542832 |
| Credential Number | 1.018668 |
| Credential Type | Physician/Surgeon |
| Business Address |
134 Grandview St Suite 103 Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1977-03-23 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1043721 | CSP.0051777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-12-09 | 2011-12-09 - 2013-02-28 | INACTIVE |
| 183541 | CSP.0025616 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE | |
| 162929 | CSP.0022822 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE | |
| 152215 | CSP.0013396 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-10-04 - 1995-09-01 | INACTIVE | |
| 154124 | CSP.0015875 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-27 - 1995-09-01 | INACTIVE |
| Street Address | 134 GRANDVIEW ST Suite 103 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel W Goodman | 58 Arch St, Riverside, CT 06878-1924 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Steven R Goodman | Po Box 325, Wallingford, CT 06492 | Physician/surgeon | 1989-08-11 ~ 1992-01-31 |
| William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
| Susan Marion Goodman | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Margaret M. Goodman | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Tobias M Goodman Md | 41 East Ave, Westerly, RI 02891 | Physician/surgeon | 1999-05-20 ~ 2000-06-30 |
| Wayne K Goodman | Univ of Florida, Gainesville, FL 32610-0256 | Physician/surgeon | 1997-01-23 ~ 1998-01-31 |
| Stanley E Goodman Md | 40 Pequot Trail, Westport, CT 06880 | Physician/surgeon | 2008-03-25 ~ 2009-05-31 |
| Herbert D Goodman | 6726 E Montecito Av, Scottsdale, AZ 85251 | Physician/surgeon | 1997-03-03 ~ 1998-02-28 |
| Alvin I Goodman | W-chestr Med Center, Valhalla, NY 10595 | Physician/surgeon | 2003-07-07 ~ 2004-07-31 |
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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).