BORIS E GOLDMAN (Credential# 162569) 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.
BORIS E GOLDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023730. 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 Aesthetic Plastic Surgery Center LLC, Westport, CT 06880. The current status is active.
| Licensee Name | BORIS E GOLDMAN |
| Credential ID | 162569 |
| Credential Number | CSP.0023730 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Aesthetic Plastic Surgery Center LLC Westport CT 06880 |
| 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 | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552418 | 1.034822 | Physician/Surgeon | 1995-09-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | AESTHETIC PLASTIC SURGERY CENTER LLC |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boris G Rifkin Md | Po Box 806, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Boris A Lorberg | 505 Russell St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Boris J Sawula Md | 538 Litchfield St Ste 202, Torrington, CT 06790-6675 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Boris Paskhover | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Boris Pukay | 273 Farmholme Rd, Stonington, CT 06378 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Boris V Sheynberg M.d. | 32 Imperial Ave, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard M Goldman | Po Box 518, Fairfield, CT 06824-0518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Boris M Lokshin | Allergy & Asthma, Reno, NV 89512 | Controlled Substance Registration for Practitioner | 1995-02-21 ~ 1996-02-28 |
| Boris Andreas Mueller | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2017-11-16 ~ 2019-02-28 |
| Zachary E Goldman | 144 Woodland St, Hartford, CT 06105-1210 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BORIS E GOLDMAN.
| 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).