ELLIOT R GOODMAN (Credential# 552804) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.
ELLIOT R GOODMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035211. The credential type is physician/surgeon. The effective date is April 1, 1997. The expiration date is March 31, 1998. The business address is 3671 Hudson Manor, Bronx, NY 10463. The current status is inactive.
Licensee Name | ELLIOT R GOODMAN |
Credential ID | 552804 |
Credential Number | 1.035211 |
Credential Type | Physician/Surgeon |
Business Address |
3671 Hudson Manor Bronx NY 10463 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-04-26 |
Effective Date | 1997-04-01 |
Expiration Date | 1998-03-31 |
Refresh Date | 2009-07-08 |
Street Address | 3671 HUDSON MANOR |
City | BRONX |
State | NY |
Zip Code | 10463 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10463 |
City | BRONX |
Zip Code | 10463 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRONX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
Steven R Goodman | Po Box 325, Wallingford, CT 06492 | Physician/surgeon | 1989-08-11 ~ 1992-01-31 |
Elliot J Favus Md | 94 Third Avenue Apt 3r, New York, NY 10003 | Physician/surgeon | 2005-07-01 ~ 2006-07-31 |
Daniel W Goodman | 58 Arch St, Riverside, CT 06878-1924 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Susan Marion Goodman | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Tobias M Goodman Md | 41 East Ave, Westerly, RI 02891 | Physician/surgeon | 1999-05-20 ~ 2000-06-30 |
Margaret M. Goodman | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Elliot Goodman Md | 3671 Hudson Manor Terr, Bronx, NY 10463 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
A John Elliot | 45 East Avenue, Westerly, RI 02891 | Physician/surgeon | 1994-04-20 ~ 1995-04-30 |
Elliot W Strong | 425 East 67th St, New York, NY 10021 | Physician/surgeon | 1995-06-19 ~ 1996-08-31 |
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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).