ANDREW GODDARD MD
Physician/surgeon


Address: 32 Red Rock Rd, Branford, CT 06405

ANDREW GODDARD MD (Credential# 548246) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2001. The license expiration date date is March 31, 2002. The license status is INACTIVE.

Business Overview

ANDREW GODDARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030124. The credential type is physician/surgeon. The effective date is February 5, 2001. The expiration date is March 31, 2002. The business address is 32 Red Rock Rd, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name ANDREW GODDARD MD
Credential ID 548246
Credential Number 1.030124
Credential Type Physician/Surgeon
Business Address 32 Red Rock Rd
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-07-14
Effective Date 2001-02-05
Expiration Date 2002-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
160959 CSP.0017649 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address 32 RED ROCK RD
City BRANFORD
State CT
Zip Code 06405

Licenses in the same zip code

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Raymond M Johnson 39 Bayberry Lane, Branford, CT 06405 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kirsten M Ranciato 288 East Main Street, Branford, CT 06405 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Bimala Khadka Thapa 726 Robert Frost Dr., Branford, CT 06405 Nail Technician ~
Paul E Basile 42 Valley Brook Road South, Branford, CT 06405 Perfusionist 2020-08-01 ~ 2021-07-31
Lupe Monica Placencia-muy 100 East Main Street 2nd Fl, Branford, CT 06405 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-02-28
Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
Ujeli Acharya 21 Burban Drive, Branford, CT 06405 Nail Technician ~
Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
Gita Thapa 94 Village Lane, Branford, CT 06405 Nail Technician ~
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Competitor

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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