MARK G GOLDSTEIN MD (Credential# 561534) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARK G GOLDSTEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043952. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2436 Henslowe Dr, Potomac, MD 20854-6178. The current status is active.
| Licensee Name | MARK G GOLDSTEIN MD |
| Credential ID | 561534 |
| Credential Number | 1.043952 |
| Credential Type | Physician/Surgeon |
| Business Address |
2436 Henslowe Dr Potomac MD 20854-6178 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 425241 | CSP.0038678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-01-03 | 2008-04-29 - 2009-02-28 | INACTIVE |
| Street Address | 2436 HENSLOWE DR |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-6178 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Warren G Feldman | 11303 S Glen Rd, Potomac, MD 20854 | Architect | 2020-08-01 ~ 2021-07-31 |
| Albert B Deisseroth | 11609 Deborah Drive, Potomac, MD 20854 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ethan M Stier | 8518 Postoak Road, Potomac, MD 20854 | Pharmacist | 2020-06-02 ~ 2022-01-31 |
| Trung Nhut Nguyen | 10441 Heathside Way, Potomac, MD 20854 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Rebecca H Leonard | 11706 Split Tree C, Potomac, MD 20854 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
| Current Yield With Participation Fund V, LLC | 9916 Logan Drive, Potomac, MD 20854 | Securities - Exemptions | 2020-02-20 ~ |
| Alex Shokouhi Mohseni | 8904 Maxwell Dr., Potomac, MD 20854 | Physician/surgeon | 2020-02-20 ~ 2020-07-31 |
| Victor Tseng | 9909 Chapel Road, Potomac, MD 20854 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eric L Edelson | 11001 Haislip Ct, Potomac, MD 20854 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Candice M Siegenthaler | 9901 Bedfordshire Court, Potomac, MD 20854 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 20854 | |||
| City | POTOMAC |
| Zip Code | 20854 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POTOMAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Goldstein | 1 Long Wharf Dr Ste 103, New Haven, CT 06511-5591 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Daniel A Goldstein Md | 103 Newtown Rd, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael D Goldstein | Po Box 527, Penns Park, PA 18943-0527 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Leonard H Goldstein | 90 Locust Ave, Danbury, CT 06810-6034 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Laurence J Goldstein | 9 Dunham Ln, Farmington, CT 06032-2475 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert B Goldstein | 2357 Blossomwood Dr, Oviedo, FL 32765-6177 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Rachel A Goldstein | 15 Fieldstone Terr, Stamford, CT 06902 | Physician/surgeon | 2001-02-28 ~ 2001-11-30 |
| Melissa K. Goldstein | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan Samuel Goldstein | Harotem 7, Tel Mond, IZ 4053208 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MARK G GOLDSTEIN 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).