LEE J GOLDSTEIN (Credential# 1207076) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LEE J GOLDSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056734. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 75 Kings Highway Cutoff Ste 4b, Fairfield, CT 06824-5340. The current status is active.
| Licensee Name | LEE J GOLDSTEIN |
| Credential ID | 1207076 |
| Credential Number | CSP.0056734 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
75 Kings Highway Cutoff Ste 4b Fairfield CT 06824-5340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1200035 | 1.052731 | Physician/Surgeon | 2014-02-18 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 75 KINGS HIGHWAY CUTOFF STE 4B |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bozena Czapka | 75 Kings Highway Cutoff Fl 5, Fairfield, CT 06824-5340 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Robert J Noecker Md | 1375 Kings Highway, Fairfield, CT 06824-5340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dario M Zagar Md | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eric J Conley | 1375 Kings Highway, Fairfield, CT 06824-5340 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Karen L Brown | 75 Kings Highway Cutoff Fl 5, Fairfield, CT 06824-5340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas B Toothaker Md | 75 Kings Highway Cutoff Fl 5, Fairfield, CT 06824-5340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fairfield Surgery Center LLC · Fairfield Surgery Center, LLC | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | Out-patient Surgical Facility | 2015-04-01 ~ 2017-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Goldstein Md | 450 Mamaroneck Ave Ste 201, Harrison, NY 10528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steve Goldstein | 65 Broad St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Paul S Goldstein Md | 200 Orchard St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William Z Goldstein Md | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Max Goldstein | 10 Ridgemont Dr, West Hartford, CT 06117-1025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam M Goldstein Md | 1 Herald Sq, New Britain, CT 06051-5006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leon A Goldstein Md | 141 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Loren C Goldstein | 363 Limestone Rd, Ridgefield, CT 06877-2617 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Goldstein Md | 340 E 64th St Apt 8g, New York, NY 10065-7524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).