JONATHAN SAMUEL GOLDSTEIN (Credential# 1289473) 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.
JONATHAN SAMUEL GOLDSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054544. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Harotem 7, Tel Mond, IZ 4053208. The current status is active.
| Licensee Name | JONATHAN SAMUEL GOLDSTEIN |
| Credential ID | 1289473 |
| Credential Number | 1.054544 |
| Credential Type | Physician/Surgeon |
| Business Address |
Harotem 7 Tel Mond IZ 4053208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-30 |
| Street Address | Harotem 7 |
| City | Tel Mond |
| State | IZ |
| Zip Code | 4053208 |
| City | Tel Mond |
| Zip Code | 40532 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Tel Mond |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
| 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 |
| Mark G Goldstein Md | 2436 Henslowe Dr, Potomac, MD 20854-6178 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marc Goldstein | 525 E. 68th Street, New York, NY 10021 | Physician/surgeon | 1977-04-26 ~ 1983-03-31 |
| Robert B Goldstein | 2357 Blossomwood Dr, Oviedo, FL 32765-6177 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard Erwin Goldstein | 99 Hawley Lane, Stratford, CT 06614 | Physician/surgeon | ~ |
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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).