JEFFREY LARSON GOODSELL
Controlled Substance Registration for Practitioner


Address: 66 Stonepost Rd, Glastonbury, CT 06033

JEFFREY LARSON GOODSELL (Credential# 1509903) 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.

Business Overview

JEFFREY LARSON GOODSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067884. 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 66 Stonepost Rd, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name JEFFREY LARSON GOODSELL
Credential ID 1509903
Credential Number CSP.0067884
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 66 Stonepost Rd
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-08-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1511213 1.061787 Physician/Surgeon 2018-08-15 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 66 Stonepost Rd
City GLASTONBURY
State CT
Zip Code 06033

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Competitor

Search similar business entities

City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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Dataset Information

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).

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