RICHARD S GOLDBERG
Controlled Substance Registration for Practitioner


Address: 46 West Avon Rd, Suite 203, Avon, CT 06001

RICHARD S GOLDBERG (Credential# 158299) 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

RICHARD S GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018911. 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 46 West Avon Rd, Suite 203, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name RICHARD S GOLDBERG
Credential ID 158299
Credential Number CSP.0018911
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 46 West Avon Rd, Suite 203
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
548798 1.030932 Physician/Surgeon 1990-07-13 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 46 WEST AVON RD, SUITE 203
City AVON
State CT
Zip Code 06001

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Competitor

Search similar business entities

City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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