DAVID GOLDWAG DO (Credential# 560022) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID GOLDWAG DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042440-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 732 Spruce Brook Rd, Southbury, CT 06488-1034. The current status is active.
| Licensee Name | DAVID GOLDWAG DO |
| Credential ID | 560022 |
| Credential Number | 1.042440-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
732 Spruce Brook Rd Southbury CT 06488-1034 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-05-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 368484 | CSP.0034844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-05-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 732 SPRUCE BROOK RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-1034 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kiara J Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Joshua A Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Emergency Medical Technician | 2018-04-27 ~ 2020-07-01 |
| Gregory C Miller | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Emergency Medical Technician | 2012-11-26 ~ 2015-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Above Property Preservation LLC | 770 Spruce Brook Rd, Southbury, CT 06488-1034 | Home Improvement Contractor | 2020-05-18 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kiara J Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Jennifer L Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Joshua A Goldwag | 732 Spruce Brook Rd, Southbury, CT 06488-1034 | Emergency Medical Technician | 2018-04-27 ~ 2020-07-01 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David G. Srour Md | Rockville, MD 20850 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
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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).