LIESEL L GOULD MD (Credential# 552976) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LIESEL L GOULD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035383. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Complete Pediatrics, P.C., North Haven, CT 06473. The current status is active.
| Licensee Name | LIESEL L GOULD MD |
| Business Name | SPRING GLEN MEDICAL CENTER |
| Credential ID | 552976 |
| Credential Number | 1.035383 |
| Credential Type | Physician/Surgeon |
| Business Address |
Complete Pediatrics, P.C. North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-07-05 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 176632 | CSP.0024561 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Complete Pediatrics, P.C. |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia F Mann Md · Spring Glen Medical Center | Whitney Pediatrics/northeast Medical Group, Hamden, CT 06518 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Right At School At Spring Glen | 1908 Whitney Ave, Hamden, CT 06517-1206 | Child Care Center | 2019-08-23 ~ 2023-08-31 |
| Robert J Anderson | Spring Glen Med Ctr, Hamden, CT 06518 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Janine Evans Md | 11 Spring Glen Terrace, Hamden, CT 06517 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Branden John Cord | 59 Spring Glen Terrace, Hamden, CT 06517 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Spring Glen Church Nursery School | 1825 Whitney Ave, Hamden, CT 06517-1406 | Child Care Center | 2016-12-01 ~ 2020-11-30 |
| Hamden/no Haven Ymca Cc/spring Glen Sch | 1908 Whitney Avenue, Hamden, CT 06517 | Child Care Center | 1999-08-05 ~ 2001-05-31 |
| Glen Hill Center | 1 Glen Hill Rd, Danbury, CT 06811-4921 | Chronic & Convalescent Nursing Home | 2019-11-01 ~ 2021-09-30 |
| Sara Gould | 545 First Ave, New York, NY 10016 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Please comment or provide details below to improve the information on LIESEL L GOULD MD.
| 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).