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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160959 | CSP.0017649 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
Street Address | 32 RED ROCK RD |
City | BRANFORD |
State | CT |
Zip Code | 06405 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dhiraj R Jeyanandarajan | 460 Goddard, Irvine, CA 92618-4610 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Andrew Goddard | 18 Bridge St,unit 1-m, Naugatuck, CT 06770 | Honey Bee Registration | 2016-01-01 ~ 2017-12-31 |
Melissa A Goddard · Goddard | 51 Canterbury Woods, Ormond Beach, FL 32174-2449 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Roland C Goddard Jr | 130 Goddard Rd, Rindge, NH 03461 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Andrew Blazar | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | ~ |
Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
Andrew W Litt | New York, NY 10024 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Andrew J Panettieri | Rt 7 So Po Box 282, Shelburne, VT 05482 | Physician/surgeon | 1998-01-02 ~ 1999-01-31 |
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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).