CHRISTINE I GOULD MD (Credential# 161962) 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.
CHRISTINE I GOULD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021690. 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 79 S Benson Rd, Fairfield, CT 06824-6230. The current status is active.
| Licensee Name | CHRISTINE I GOULD MD |
| Credential ID | 161962 |
| Credential Number | CSP.0021690 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
79 S Benson Rd Fairfield CT 06824-6230 |
| 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 | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550995 | 1.033396 | Physician/Surgeon | 1993-11-05 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 79 S BENSON RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6230 |
| 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 |
|---|---|---|---|
| Grahame C Gould | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| David R Weber | 73 Gould Lane #1, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Patricia H Gramuglia | 49 Gould Dr Apt D, East Hartford, CT 06118-1161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debbie M Gould · Billings | 23 Peach Dr, Seymour, CT 06483-2013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bonnie E Gould Rothberg Md | 215 Uncas Point Rd, Guilford, CT 06437-3145 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nelson L Gould Od | 2060 Black Rock Turnpike, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine G Shupenis | Po Box 339, Bantam, CT 06750-0339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine H Won Md | Po Box 208057, New Haven, CT 06520-8057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine M Mintz | 41 Village Ln Apt 816, Wethersfield, CT 06109-4606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2016-05-02 |
| Christine D Uy | 24 Park Place Apt 6k, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on CHRISTINE I GOULD 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).